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 Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Lauren Wordell (NPI 1831653930)

Field	Value
Entity Type	Individual
Organization	Lauren Wordell
Address	20 Austin Ave
City	Greenville
State	RI
ZIP	02828
Taxonomy	Occupational Therapist
NPI Enumerated	January 23, 2019

Payer Source	Total Paid
Medicare	$44.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	1,780	$20	$31.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	330	$30	$8.6K
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…	130	$20	$2K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	20	$70	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Lauren Wordell — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	18	460	470	$20	$11.5K
97530	166	370	300	$30	$10.9K
97140	298	400	270	$20	$6.3K
97166	7	10	20	$80	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bay State Physical Therapy Of Randolph Inc	MA	Physical Therapist	$0	$14.7M
Michael Healy	RI	Physical Therapist	$143.6K	$58K
David Fleischman	MA	Physical Therapist	$147K	$0
Patricia Balascik	CO	Physical Therapist	$128.1K	$0
Morgan Lempke	MA	Physical Therapist	$111K	$0
Alexa Mccue	RI	Physical Therapist	$56K	$45.5K
Pablo Rodriguez	MA	Physical Therapist	$88.3K	$11.5K
Michael Bove	MA	Physical Therapist	$95K	$0
Justine O'hara	RI	Physical Therapist	$89K	$0
David Thomas	MA	Physical Therapist	$80.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vision Associates Inc	RI	Optometrist	$0	$924.9K
Cortland Place Health Center, Inc	RI	Skilled Nursing Facility	$0	$768.9K
Town Of Smithfield	RI	Land Ambulance	$308.2K	$213.5K
Rhode Island Cvs Pharmacy, L.L.C.	RI	Pharmacy	$134.7K	$0
Andrea Ross	RI	Physical Therapist	$64.1K	$3.2K
Gary King	RI	Family Medicine Physician	$36.9K	$26K
Dena Hall	RI	Optometrist	$36.3K	$25K
Amanda Keegan	RI	Physical Therapist	$49.8K	$0
Eric Hall	RI	Optometrist	$30.8K	$11.5K
Noelle Johnston	RI	Optometrist	$16.9K	$10.7K

Lauren Wordell — Billing Profile & Reimbursement Data

Sign up for Lauren Wordell — Billing Profile & Reimbursement Data policy alerts

Lauren Wordell — Billing Profile & Reimbursement Data

Sign up for Lauren Wordell — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References