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.

Jessica Swain (NPI 1952828261)

Field	Value
Entity Type	Individual
Organization	Jessica Swain
Address	125 Quaker Hill Ln
City	Portsmouth
State	RI
ZIP	02871
Taxonomy	Occupational Therapist
NPI Enumerated	August 28, 2017

Payer Source	Total Paid
Medicare	$77.4K
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
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.	1,550	$30	$40.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1,520	$20	$30.3K
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…	110	$20	$2.1K
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…	100	$20	$2.1K
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…	30	$80	$1.9K

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. Rhode Island Distribution

Jessica Swain — 2 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	417	460	470	$20	$11.5K
97530	7	370	300	$30	$10.9K
97112	262	350	200	$20	$7.3K
97535	1	50	60	$20	$3.6K
97166	5	10	20	$80	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanne Sullivan	RI	Physical Therapist	$73K	$0
Jaryl Sciarappa	RI	Speech-Language Pathologist	$54.9K	$0
Courtney Kirkman	RI	Physical Therapist	$51.7K	$0
Nicole Fortier	RI	Occupational Therapist	$48K	$0
Alison Tate	VT	Physical Therapist	$43.4K	$0
Jamie Maymon	RI	Occupational Therapist	$39.9K	$0
Brett Brumbaugh	RI	Occupational Therapist	$16.7K	$0
Hanna Tarbox	RI	Physical Therapist	$12.2K	$2.8K
Katherine Angelou	RI	Speech-Language Pathologist	$8.9K	$0
Alexis Morrell	CT	Speech-Language Pathologist	$6.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Looking Upwards, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$136.2M
Looking Upwards, Inc.	RI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$15.7M
Looking Upwards, Inc.	RI	Multi-Specialty Clinic/Center	$0	$7.4M
Girls And Boys Town Of New England	RI	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5.9M
Newport County Regional Special Education	RI	Local Education Agency (LEA)	$0	$1.5M
Tom Swanson	RI	Pediatric Dentistry	$0	$1.3M
Gina Digati	RI	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$12.3K	$817.1K
Lighthouse Counseling Associates	RI	Clinical Social Worker	$0	$343.5K
Town Of Portsmouth	RI	Land Ambulance	$265.6K	$75.3K
East Bay Endoscopy Center LLC	RI	Endoscopy Clinic/Center	$330.2K	$0

Jessica Swain — Billing Profile & Reimbursement Data

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Jessica Swain — 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