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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Toni Hickey (NPI 1851718357)

Field	Value
Entity Type	Individual
Organization	Toni Hickey
Address	245 Hairston St
City	Danville
State	VA
ZIP	24540
Taxonomy	Clinical Social Worker
NPI Enumerated	March 21, 2014

Payer Source	Total Paid
Medicare	$118.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	700	$80	$55.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,270	$40	$46.8K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	980	$10	$7.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	70	$90	$5.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	40	$50	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Toni Hickey — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	4	370	190	$90	$19.1K
90834	228	250	150	$60	$12.3K
90832	3	90	70	$50	$7.9K
90791	32	270	20	$110	$3.7K
90785	1	20	40	$10	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danville-pittsylvania Community Services	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$42.5M
Neurology And Pain Management Associates PC	IN	Internal Medicine Physician	$0	$11.7M
Olaniyi Osuntokun	IN	Psychiatry Physician	$445.7K	$0
Mario Robbins	IN	Psychiatry Physician	$297.4K	$0
James Brown	IN	Psychiatric/Mental Health Nurse Practitioner	$285.1K	$0
Brianna Primrose	IN	Family Nurse Practitioner	$212.3K	$0
Kalyn Hoover	IN	Nurse Practitioner	$203.6K	$0
Stephanie Murphy	IN	Clinical Psychologist	$201.1K	$0
Angela Shaw	IN	Nurse Practitioner	$199.8K	$0
Alex Jolly	KY	Family Nurse Practitioner	$197.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Partners, LLC	VA	Exclusive Provider Organization	$0	$45.3M
Negril, Inc-r C Right Group Homes	VA	Lodging Provider	$0	$35M
Therapeutic Intervention Services, Inc.	VA	Community/Behavioral Health Agency	$0	$21.3M
The Right Choice Mwm, Inc	VA	Case Management Agency	$0	$13.8M
Negril, Inc	VA	Mental Health Counselor	$0	$11.6M
Center For Pediatric Therapies, Inc.	VA	Pediatric Occupational Therapist	$0	$11.5M
Life Support Mh Community Support Services	VA	Community/Behavioral Health Agency	$0	$11.4M
A Better Tomorrow Support Services, LLC.	VA	Community/Behavioral Health Agency	$0	$10M
Vista Clinical Diagnostics LLC	VA	Clinical Medical Laboratory	$4.3M	$3.3M
Turning Point Family Services	VA	Community/Behavioral Health Agency	$0	$7M

Toni Hickey — Billing Profile & Reimbursement Data

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Toni Hickey — 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