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

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

Sally Hawkins (NPI 1952402687)

Field	Value
Entity Type	Individual
Organization	Sally Hawkins
Address	11033 Cathell Rd
City	Berlin
State	MD
ZIP	21811
Taxonomy	Hand Occupational Therapist
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicare	$67K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	1,520	$20	$25.8K
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…	1,010	$20	$19.2K
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.	560	$30	$14.5K
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…	90	$80	$6.5K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	80	$20	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Sally Hawkins — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	701	1,950	400	$30	$16.2K
97110	556	2,170	540	$20	$14.9K
97140	82	1,830	340	$20	$8.4K
97165	7	100	30	$80	$2.9K
97750	59	160	60	$20	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patricia Manchak	DE	Physical Therapist	$315.6K	$0
Charles Curran	MD	Physical Therapist	$256.7K	$0
David Kenney	DC	Physical Therapist	$225.2K	$0
Dominick Policare	DE	Physical Therapist	$193.9K	$0
Kerri Saldutti	DE	Physical Therapist	$180.7K	$0
Lisa Clifford	NY	Physical Therapist	$173.8K	$0
Phillip Tyre	DE	Physical Therapist	$142.9K	$0
Krystal Perrone	DE	Physical Therapist	$142.8K	$0
Jamie Musselman	DE	Physical Therapist	$140.7K	$0
Kim Dare	DE	Physical Therapist	$119.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlantic General Hospital Corporation	MD	Family Medicine Physician	$0	$5.4M
Rabindra Paul	MD	Infectious Disease Physician	$2.1M	$0
John Mansueti	MD	Radiation Oncology Physician	$960.8K	$0
Raymond Clifford	MD	Ophthalmology Physician	$893.6K	$0
Jessco LLC	MD	Ambulatory Surgical Clinic/Center	$886K	$0
Manoj Jain	MD	Radiation Oncology Physician	$695.5K	$0
David Wanalista	MD	Rheumatology Physician	$584.4K	$0
Wadid Zaky Salama	MD	Pain Medicine (Anesthesiology) Physician	$359.2K	$0
Christopher Galuardi	MD	Interventional Pain Medicine Physician	$320K	$0
Pennie Savage	MD	Family Nurse Practitioner	$261.3K	$0

Sally Hawkins — Billing Profile & Reimbursement Data

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Sally Hawkins — 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