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

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

Andrea Vergara (NPI 1134481864)

Field	Value
Entity Type	Individual
Organization	Andrea Vergara
Address	111 Colchester Ave
City	Burlington
State	VT
ZIP	05401
Taxonomy	Student in an Organized Health Care Education/Training Program
NPI Enumerated	June 8, 2012

Payer Source	Total Paid
Medicare	$10.1K
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
74178	The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…	10	$320	$3.9K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	10	$320	$3.5K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	20	$120	$2.1K
A9575	Injection, gadoterate meglumine, 0.1 ml	2,150	$0	$0
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,400	$0	$0

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. Vermont Distribution

Andrea Vergara — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74183	18	20	30	$160	$7.2K
71250	28	30	100	$40	$4.1K
A9575	3	10	3,370	$1	$2.3K
74178	17	20	20	$100	$2.3K
Q9967	3	10	3,400	$1	$590

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Dato	CA	Urology Physician	$2M	$0
Babita Sethi	FL	Diagnostic Radiology Physician	$513.3K	$0
Sharp Healthcare	CA	Clinical Medical Laboratory	$498.4K	$970
Fatima Kazem	CA	Diagnostic Radiology Physician	$443.5K	$0
Sharp Healthcare	CA	Clinical Medical Laboratory	$440.3K	$530
Terry Behrend	CA	Nephrology Physician	$425.9K	$0
Oday Saeed	CA	Nephrology Physician	$391.6K	$0
David Sheinbein	MO	Dermatology Physician	$356K	$0
Saman Panahipour	TX	Diagnostic Radiology Physician	$239.9K	$0
Robert Stoffey	MN	Diagnostic Radiology Physician	$236.8K	$0

Andrea Vergara — Billing Profile & Reimbursement Data

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Andrea Vergara — 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

Frequently Asked Questions

References