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

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

Sarah Norton (NPI 1114439544)

Field	Value
Entity Type	Individual
Organization	Sarah Norton
Address	15004 Innovation Dr
City	San Diego
State	CA
ZIP	92128
Taxonomy	Speech-Language Pathologist
NPI Enumerated	October 25, 2017

Payer Source	Total Paid
Medicare	$1.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96125	In this procedure, the provider performs standardized cognitive performance testing, which is a functional assessment test for a person with memory loss.	30	$60	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Sarah Norton — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96125	3	10	30	$80	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	CA	Clinical Medical Laboratory	$59.8M	$147.2M
Laboratory Corporation Of America	CA	Clinical Medical Laboratory	$1.1M	$11.4M
Phamatech Incorporated	CA	Clinical Medical Laboratory	$812.9K	$3.2M
Scripps Health	CA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Scripps Clinic Medical Laboratories	CA	Clinical Medical Laboratory	$414.6K	$490
Anil Patel	CA	Cardiovascular Disease Physician	$279.9K	$0
Namee Kim	CA	Cardiovascular Disease Physician	$274K	$0
Malhar Patel	CA	Cardiovascular Disease Physician	$242.4K	$0
Ryan Frederiksen	CA	Diagnostic Radiology Physician	$210.5K	$1.6K
David Lee	CA	Diagnostic Radiology Physician	$141K	$0

Sarah Norton — Billing Profile & Reimbursement Data

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Sarah Norton — 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