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

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

Jenny Williams (NPI 1861641797)

Field	Value
Entity Type	Individual
Organization	Jenny Williams
Address	1044 Poplar Dr
City	Saint Louis
State	MO
ZIP	63125
Taxonomy	Occupational Therapist
NPI Enumerated	September 16, 2008

Payer Source	Total Paid
Medicare	$48.1K
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
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.	1,070	$20	$24.5K
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…	710	$20	$12.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	420	$20	$8.3K
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…	50	$70	$3.3K

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. Missouri Distribution

Jenny Williams — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	126	990	360	$20	$13.8K
97110	378	1,130	420	$20	$12K
97535	36	160	110	$20	$6K
97165	5	50	20	$70	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United At Home LLC	MO	Home Health Agency	$0	$14.2M
United In-home Care, LLC	MO	Home Health Agency	$0	$3.9M
Panduranga Koya	MO	Internal Medicine Physician	$118K	$0
Earl Brasfield	MO	Physical Therapist	$102.4K	$0
Karen Lickenbrock	MO	Family Medicine Physician	$30.8K	$60.9K
David Amarnek	MO	Foot & Ankle Surgery Podiatrist	$63.1K	$0
Haylee Freeman	MO	Speech-Language Pathologist	$55K	$0
Daniel Loiterstein	MO	Psychiatry Physician	$39.1K	$0
Danna France	MO	Family Nurse Practitioner	$37.1K	$0
Ember Beutel	MO	Chiropractor	$15.5K	$0

Jenny Williams — Billing Profile & Reimbursement Data

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Jenny Williams — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References