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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Piper Johnson (NPI 1871062844)

Field	Value
Entity Type	Individual
Organization	Piper Johnson
Address	550 Eastgate Dr
City	Aiken
State	SC
ZIP	29803
Taxonomy	Occupational Therapist
NPI Enumerated	November 19, 2018

Payer Source	Total Paid
Medicare	$91.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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.	1,500	$20	$35.9K
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…	2,080	$20	$35.3K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	560	$20	$10.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	190	$20	$4.2K
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…	50	$70	$3.7K
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…	20	$80	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Piper Johnson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	219	1,250	600	$20	$20K
97110	182	1,390	710	$20	$19.2K
97112	510	870	250	$20	$8.2K
97535	28	250	100	$20	$4.5K
97165	81	100	30	$70	$2.7K
97166	9	80	30	$70	$2.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Therapy Of Aiken, LLC	SC	Occupational Therapist	$0	$14.1M
Aiken Obstetrics And Gynecology Associates, PA	SC	Specialist	$0	$9.6M
Aiken County Public Schools	SC	Bus	$0	$5.2M
Southside Pediatrics Of Aiken, LLC	SC	Pediatrics Physician	$0	$3.8M
Therapy Solutions, LLC	SC	Speech-Language Pathologist	$0	$2.5M
David Zimmerman	SC	Family Medicine Physician	$470K	$0
Publix Super Markets Inc	SC	Community/Retail Pharmacy	$431.1K	$0
Leopoldo Muniz	SC	Family Medicine Physician	$414.8K	$0
Stephen Rozier	SC	Physician Assistant	$389.1K	$0
William Durrett	SC	Interventional Pain Medicine Physician	$376.1K	$0

Piper Johnson — 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