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

Why is the Medicaid comparison limited to North 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. North 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.

Donna Fender (NPI 1912199894)

Field	Value
Entity Type	Individual
Organization	Donna Fender
Address	310 Roanoke Ave
City	Roanoke Rapids
State	NC
ZIP	27870
Taxonomy	Physical Therapist
NPI Enumerated	August 14, 2007

Payer Source	Total Paid
Medicare	$88.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	2,410	$20	$36.1K
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…	1,550	$20	$24.8K
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…	190	$70	$14K
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.	340	$20	$7.4K
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	$3.8K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	210	$10	$1.5K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	30	$50	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Donna Fender — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	803	1,960	270	$20	$11.4K
97110	219	2,470	390	$20	$11.1K
97112	1,062	1,820	240	$20	$7.6K
97140	9	2,020	220	$20	$5.3K
97161	4	1,200	30	$70	$3.1K
97164	107	200	30	$50	$2.3K
97035	21	120	80	$10	$1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Life Behavioral Care LLC	NC	Non-emergency Medical Transport (VAN)	$0	$37.4M
New Beginnings Day Treatment Center, LLC	NC	Developmentally Disabled Services Day Training Agency	$0	$16.4M
Park Avenue Pediatrics PA	NC	Pediatrics Physician	$0	$10.6M
Home Life Care Inc	NC	In Home Supportive Care Agency	$0	$10.3M
Able Home Health Care, LLC	NC	Personal Care Attendant	$0	$10.3M
Holt Assessment Services	NC	Community/Behavioral Health Agency	$0	$10.1M
Halifax Regional Medical Center Inc	NC	General Acute Care Hospital	$0	$9.6M
Rural Health Group, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$7.1M
Morse Clinic Of Roanoke Rapids, PC	NC	Methadone Clinic	$73K	$2.5M
Brian Crichlow	NC	Ophthalmology Physician	$429.5K	$0

Donna Fender — Billing Profile & Reimbursement Data

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Donna Fender — 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