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

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

Sofie Pinney (NPI 1063844322)

Field	Value
Entity Type	Individual
Organization	Sofie Pinney
Address	1210 Ky Highway 36 E
City	Cynthiana
State	KY
ZIP	41031
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	August 8, 2013

Payer Source	Total Paid
Medicare	$15.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	150	$90	$13.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	$60	$1.3K
97760	In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In…	10	$30	$430
G0127	Trimming of dystrophic nails, any number	30	$10	$390

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Sofie Pinney — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,924	7,230	110	$70	$14.1K
99213	6,345	7,250	80	$50	$7.7K
G0127	28	30	100	$10	$4.8K
97760	6	10	20	$30	$680

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frank Mongiardo	KY	Otolaryngology/Facial Plastic Surgery Physician	$428.7K	$5.6M
Harrison Memorial Hospital Inc	KY	Multi-Specialty Clinic/Center	$0	$4.5M
Bal Srivastava	OH	Cardiovascular Disease Physician	$384.6K	$0
Denis Yalkut	KY	Urology Physician	$249.1K	$0
Stephen Besson	KY	Adolescent Medicine (Internal Medicine) Physician	$141.5K	$0
Dwight Lewis	KY	Internal Medicine Physician	$61.8K	$76.7K
Matthew Shotwell	KY	Interventional Cardiology Physician	$109.3K	$0
Alberto Laureano	KY	Otolaryngology Physician	$87.9K	$0
Nezar Falluji	AZ	Interventional Cardiology Physician	$82.6K	$0
Timothy Adkins	KY	Urology Physician	$70K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harrison Memorial Hospital	KY	General Acute Care Hospital	$0	$34.7M
My Turning Point, LLC	KY	Addiction Medicine (Psychiatry & Neurology) Physician	$0	$6.9M
Hospice Of The Bluegrass, Inc.	KY	Home Health Agency	$0	$4.6M
Central Kentucky Recovery Management	KY	Addiction Medicine (Family Medicine) Physician	$0	$3.9M
Harrison County Eldercare	KY	Adult Day Care Clinic/Center	$0	$3.7M
Arch Care Consultants, LLC	KY	Case Management Agency	$0	$3.3M
Deborah Spicer	KY	Clinical Social Worker	$990	$747.7K
Harrison County Ems	KY	Land Ambulance	$293.8K	$197.1K
Jeremy Smith	KY	Optometrist	$19.6K	$75K
Brian Mulberry	KY	Family Medicine Physician	$58.2K	$0

Sofie Pinney — Billing Profile & Reimbursement Data

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Sofie Pinney — 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