Sophie Wells — Billing Profile & Reimbursement Data
NPI 1134445034 · Newton, MA · Cardiovascular Disease Physician
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Sophie Wells is a cardiovascular disease physician provider located in Newton, Massachusetts. This profile covers 28 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sophie Wells |
| Address | 2014 Washington St |
| City | Newton |
| State | MA |
| ZIP | 02462 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | April 16, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $167.7K |
| Medicaid | $670 |
Medicare: Total Revenue Breakdown by CPT/HCPCS Code
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
Medicare: Complete Services Breakdown
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
28 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… | 330 | $100 | $33.6K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 470 | $50 | $24.9K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 2,850 | $10 | $20K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 90 | $150 | $13.8K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 60 | $180 | $10K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 70 | $140 | $9.6K |
| 99204 | The provider sees a new 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 provider… | 70 | $130 | $9.4K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 90 | $100 | $8.6K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 630 | $10 | $7.6K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 80 | $70 | $5.2K |
Showing 1–10 of 28
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
28 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 122 | 540 | 310 | $80 | $26.3K |
| 99214 | 2,433 | 15,410 | 110 | $80 | $15.6K |
| 99233 | 1,806 | 4,170 | 70 | $100 | $12.6K |
| 99232 | 2,428 | 5,400 | 70 | $60 | $9.3K |
| 99215 | 1,399 | 6,360 | 40 | $120 | $8.9K |
| 99213 | 10,141 | 13,700 | 70 | $60 | $8.8K |
| 99223 | 977 | 4,430 | 30 | $140 | $7.6K |
| 93880 | 271 | 360 | 50 | $70 | $6.1K |
| 99204 | 1,160 | 5,870 | 30 | $120 | $5.6K |
| 99205 | 370 | 2,430 | 30 | $160 | $5.5K |
Showing 1–10 of 28
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 100 | $10 | $620 |
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 353 | 590 | 200 | $1 | $25.3K |
Nearby Providers
Other providers in the same ZIP code as Sophie Wells, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jill Smith | MA | Ophthalmology Physician | $337.6K | $0 |
| David Jones | MA | Dermatology Physician | $307.1K | $0 |
| Brian Saltzman | MA | Urology Physician | $303.6K | $0 |
| Marc Leibole | MA | Ophthalmology Physician | $300.1K | $0 |
| Ned Saltzman | MA | Urology Physician | $275.9K | $0 |
| John Long | MA | Urology Physician | $247.3K | $0 |
| Michael Ross | MA | Anatomic Pathology & Clinical Pathology Physician | $108.3K | $137.3K |
| Daniel Quinn | MA | Orthopaedic Surgery Physician | $232.9K | $0 |
| Stefanos Parpos | MA | Cardiovascular Disease Physician | $231.3K | $830 |
| Alfred Hanmer | MA | Orthopaedic Surgery Physician | $220.8K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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