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

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

Vernon Moss (NPI 1912123480)

Field	Value
Entity Type	Individual
Organization	Vernon Moss
Address	109 Kiowa St
City	Monroe
State	LA
ZIP	71203
Taxonomy	Occupational Therapist
NPI Enumerated	April 17, 2007

Payer Source	Total Paid
Medicare	$26.4K
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
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.	1,150	$20	$22.9K
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…	40	$70	$2.4K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	130	$10	$1.2K

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. Louisiana Distribution

Vernon Moss — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	76	660	310	$20	$12K
97032	38	60	210	$10	$2.8K
97166	9	50	20	$70	$2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pecan Haven Addiction Recovery Center, LLC	LA	Substance Abuse Rehabilitation Facility	$0	$42.3M
Cognitive Development Center Behavioral Health Services	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$38.1M
Absolute Care,inc.	LA	Assisted Living Facility	$0	$16.8M
Inspirational Care LLC	LA	In Home Supportive Care Agency	$0	$11.5M
Melanie Massey Physical Therapy Inc	LA	Physical Therapist	$0	$11.4M
Unique Guidance Provider Services, Inc	LA	In Home Supportive Care Agency	$0	$8.3M
Ann's Helping Hands	LA	Personal Care Attendant	$0	$5.3M
Inspirational Care LLC	LA	In Home Supportive Care Agency	$0	$5.3M
Laboratory Corporation Of America Holdings	LA	Clinical Medical Laboratory	$1.2M	$3.4M
Jyothi Mallepalli	LA	Rheumatology Physician	$3.2M	$0

Vernon Moss — Billing Profile & Reimbursement Data

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Vernon Moss — 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