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.

Samantha Fallon (NPI 1912127937)

Field	Value
Entity Type	Individual
Organization	Samantha Fallon
Address	5835 Post Rd
City	East Greenwich
State	RI
ZIP	02818
Taxonomy	Physical Therapist
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicare	$48K
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.	1,610	$20	$37K
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…	560	$20	$9.4K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	20	$80	$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. Rhode Island Distribution

Samantha Fallon — 1 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	199	460	470	$20	$11.5K
97530	6	370	300	$30	$10.9K
97161	237	270	30	$80	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michelle Fisette	RI	Physical Therapist	$85.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joanne Lewis	RI	Pediatric Dentistry	$0	$2.1M
Healthy Babies, Happy Moms Inc.	RI	Customized Equipment (DME)	$0	$1.5M
Daniel Collins	RI	Family Medicine Physician	$24.4K	$902.1K
Sargent Rehabilitation Center, Inc.	RI	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$819.5K
Egp Inc	RI	Pediatrics Physician	$0	$708.2K
Bayside Endoscopy Center LLC	RI	Ambulatory Surgical Clinic/Center	$650.4K	$0
Robert Gianfrocco	RI	Emergency Medicine Physician	$14.7K	$633.9K
Joseph Wyllie	RI	Cardiovascular Disease Physician	$110.6K	$537.2K
Nathaniel Jellinek	RI	MOHS-Micrographic Surgery Physician	$638.1K	$0
Natasha Bica	RI	Family Medicine Physician	$0	$606.3K

Samantha Fallon — Billing Profile & Reimbursement Data

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Samantha Fallon — 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