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

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

Karen Heap (NPI 1972552172)

Field	Value
Entity Type	Individual
Organization	Karen Heap
Address	307 W Minnesota Park Rd
City	Hammond
State	LA
ZIP	70403
Taxonomy	Physical Therapist
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicare	$73.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	2,070	$20	$45.6K
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…	710	$20	$13.5K
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…	580	$20	$9.3K
97162	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…	30	$70	$2.3K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	220	$10	$1.8K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	90	$10	$640

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

Claims Volume vs. Louisiana Distribution

Karen Heap — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	551	1,030	800	$20	$19.6K
97113	1	40	350	$20	$10.6K
97140	253	830	360	$20	$7.7K
97162	161	390	30	$70	$2.7K
G0283	323	400	260	$10	$2.5K
97035	32	110	120	$10	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Inc	LA	Developmentally Disabled Services Day Training Agency	$0	$46.6M
North Oaks Medical Center, LLC	LA	Rural Acute Care Hospital	$0	$37.5M
Always Tlc, LLC	LA	In Home Supportive Care Agency	$0	$18.8M
North Oaks Medical Center, LLC	LA	General Acute Care Hospital	$0	$18.3M
North Oaks Pediatric Clinic, L.L.P.	LA	Pediatrics Physician	$0	$14.2M
Choices Coordinated Care Solutions, Inc.	LA	Case Management Agency	$0	$13.9M
Gloss Enterprise	LA	In Home Supportive Care Agency	$0	$13.6M
Wilkinson Care Giving, LLC	LA	In Home Supportive Care Agency	$0	$11.7M
North Oaks Obstetrics & Gynecology	LA	Gynecology Physician	$0	$8.5M
Egan Healthcare Of Northshore, Inc	LA	Home Health Agency	$0	$8.5M

Karen Heap — Billing Profile & Reimbursement Data

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Karen Heap — 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