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    OpenPayerNPI Medicare & MedicaidJoy Mehorczyk
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    Joy Mehorczyk — Billing Profile & Reimbursement Data

    NPI 1942339791 · Gallatin, TN · Occupational Therapist

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    Joy Mehorczyk is a occupational therapist provider located in Gallatin, Tennessee. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoy Mehorczyk
    Address171 Abbey Rd
    CityGallatin
    StateTN
    ZIP37066
    TaxonomyOccupational Therapist
    NPI EnumeratedMarch 5, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$83.9K
    Medicaid$0

    Key Findings

    JOY MEHORCZYK is an occupational therapist in GALLATIN, TN with an NPI enumerated on 2007-03-05 (~19 years ago). The provider’s lifetime Medicare revenue is $83.9K and there is no Medicaid billing on file, indicating a practice that, at least in available records, operates effectively as a Medicare-only biller at present.

    Revenue for this provider is highly concentrated: the precomputed top-3 Medicare codes account for 83.6% of Medicare revenue. Those three codes are 97530 (44.0%), 97112 (25.2%), and 97110 (14.4%), which together dominate the reported Medicare earnings and define the provider’s core service mix.

    The mix of high-volume codes (97530, 97112, 97110) and the associated code descriptions indicate an operation focused on hands-on therapeutic interventions and exercise-based occupational therapy. 97530 (activities to improve functional performance), 97112 (neuromuscular reeducation), and 97110 (therapeutic exercise) together point to repeated treatment visits rather than a practice centered on high-complexity evaluation services.

    97530 stands out as the single largest revenue driver: 1.8K claims, $21 avg paid/claim, $37.2K revenue (44.0% of Medicare revenue) and it ranks #3364 of 62717 providers nationally (95th percentile; notably above typical national volume for this code). This rank and label mark the provider as a comparatively high-volume national participant specifically for activity-based therapeutic sessions.

    97112 and 97110 are material secondary drivers: 97112 has 1.1K claims, $19 avg paid/claim, $21.3K revenue (25.2%) and ranks #5496 of 61940 (91th percentile; typical, unremarkable volume for this code), while 97110 has 761 claims, $16 avg paid/claim, $12.2K revenue (14.4%) and ranks #27041 of 79999 (66th percentile; typical, unremarkable volume for this code). Together these volumes support an outpatient therapy profile, with 97112 placing the provider above many peers by rank even as the dataset characterizes its volume as typical in context.

    Use of higher-complexity evaluation codes appears limited: 97166 shows 27 claims, $56 avg paid/claim, $1.5K revenue (1.8%), which suggests the provider performs relatively few moderate-complexity OT evaluations compared with treatment visits. This pattern—high treatment visit counts and low evaluation revenue share—suggests operational emphasis on delivering serial therapy sessions over time.

    There is evidence of group or instructional therapeutic activity but it is a smaller part of the mix: 97535 has 654 claims, $18 avg paid/claim, $11.8K revenue (13.9%) and ranks #1172 of 16743 (93th percentile; typical, unremarkable volume for this code), while 97150 is low-volume (53 claims, $10 avg, $530 revenue, 0.6%). These figures indicate some use of instructional or supervised therapeutic modalities but with most revenue still tied to one-on-one session codes.

    From a payer-mix and risk perspective, the absence of any Medicaid billing means the provider’s revenue exposure is concentrated in Medicare ($83.9K lifetime). Combined with the 83.6% concentration in three therapy codes, the practice’s financial performance is likely sensitive to reimbursement or utilization changes that affect 97530, 97112, and 97110.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97530The 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.1,770$20$37.2K
    97112Neuromuscular 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…1,120$20$21.3K
    97110Therapeutic 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…760$20$12.2K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.650$20$11.8K
    97166The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…30$60$1.5K
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.50$10$530

    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

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9711021,830460$20$12.5K
    9753011,560350$20$12.3K
    9711211,220240$20$6.7K
    97535119080$20$4.9K
    9716619020$70$1.9K
    971501480110$10$1.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicole TuckerUTPhysical Therapist$310.7K$0
    Sarah FrancisTXOccupational Therapist$226.6K$0
    Jordyn GonzalezSCPhysical Therapist$186.5K$0
    Megan ZieglerAZOccupational Therapist$175.2K$0
    Linda GoglCOPhysical Therapist$155.5K$0
    Amanda CoatsNCPhysical Therapist$134.8K$0
    Cliff PratherMOPhysical Therapist$132.7K$0
    Erika BrassowTXGeriatric Physical Therapist$124.3K$0
    Stephanie WhitmerIAPhysical Therapist$123.9K$0
    Jana WoodruffIDOccupational Therapist$121.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Group Effort Of Tennessee, LLC.TNDevelopmental Disabilities Clinic/Center$0$31.4M
    Vip Midsouth, LLCTNPediatrics Physician$0$30.4M
    Sumner Regional Medical Center LLCTNGeneral Acute Care Hospital$0$11.8M
    21st Century Rehabilitation ServicesTNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$9.5M
    County Of SumnerTNLand Ambulance$1.6M$4.5M
    Trinity Pediatrics, P.C.TNPediatrics Physician$0$5.8M
    Children's Dentistry Of GallatinTNPediatric Dentistry$0$5.4M
    Emergency Physicians At Sumner PLLCTNEmergency Medical Services (Emergency Medicine) Physician$0$3.4M
    Tamjeed AhmedTNHematology & Oncology Physician$913.2K$0
    Dianna ShipleyTNMedical Oncology Physician$636.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Joy Mehorczyk — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee