Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Steven Thames (NPI 1811943483)

Field	Value
Entity Type	Individual
Organization	Steven Thames
Address	140 24th St S
City	Wisconsin Rapids
State	WI
ZIP	54494
Taxonomy	Occupational Therapist
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicare	$13K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	310	$20	$6.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	240	$20	$3.8K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	40	$80	$3.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Steven Thames — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	665	1,550	280	$20	$6.6K
97140	385	1,180	150	$20	$3.6K
97165	7	70	20	$70	$1.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Steven Thames, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frank Walter	WI	Orthopaedic Hand Surgery Physician	$66.7K	$0
Douglas Galuk	WI	Orthopaedic Surgery Physician	$63.5K	$0
Tyler Sorensen	WI	Foot & Ankle Surgery Podiatrist	$32.5K	$1.3K
Thomas Smedberg	WI	Orthopaedic Surgery Physician	$33.1K	$0
Todd Storch	WI	Anesthesiology Physician	$7.7K	$0
Cheryl Abitz	AK	Occupational Therapist	$6.2K	$0

Nearby Providers

Other providers in the same ZIP code as Steven Thames, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspirus Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Aspirus Riverview Hospital & Clinics, Inc.	WI	Rural Health Clinic/Center	$0	$4.7M
Therapies Plus LLC	WI	Rehabilitation Clinic/Center	$0	$3.7M
Opportunity Development Centers, Inc.	WI	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Northwest Journey - Wisconsin Rapids Day Treatm	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2.5M
Wisconsin Rapids Public School District	WI	Local Education Agency (LEA)	$0	$1.9M
City Of Wisconsin Rapids	WI	Land Ambulance	$268.1K	$823.7K
Surgery Center Of Wisconsin Rapids, LLC	WI	Ambulatory Surgical Clinic/Center	$782.8K	$0
Walgreen Co	WI	Pharmacy	$141.9K	$78.3K
Lacey Schwanebeck	WI	Nurse Practitioner	$119.3K	$0

Steven Thames — Billing Profile & Reimbursement Data

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Steven Thames — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References