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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Susan Rogers (NPI 1134559354)

Field	Value
Entity Type	Individual
Organization	Susan Rogers
Address	8 Lee St
City	Moorefield
State	WV
ZIP	26836
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 25, 2013

Payer Source	Total Paid
Medicare	$23.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	210	$70	$14.1K
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…	140	$50	$7.6K
90970	The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…	320	$10	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Susan Rogers — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	708	2,740	100	$70	$11.8K
99213	929	2,860	80	$50	$7.5K
90970	4	10	320	$10	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Kiggundu	WV	Radiation Oncology Physician	$835.2K	$0
Salahadin Gharad	KY	Cardiovascular Disease Physician	$225.6K	$0
Todd Feathers	MD	Orthopaedic Surgery Physician	$178.8K	$0
Cathy Funk	WV	Internal Medicine Physician	$175.6K	$0
Robert Goralski	MD	Family Medicine Physician	$174.2K	$0
Vivek Padha	WV	Vascular & Interventional Radiology Physician	$165.4K	$0
Courtney Struthers	WV	Internal Medicine Physician	$143.8K	$0
Nathaniel Kister	WV	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$142.5K	$0
Roberto Reyna	WV	Internal Medicine Physician	$133.7K	$0
Bethany Pellegrino	WV	Nephrology Physician	$126.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
E. A. Hawse Health Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$4.2M
E. A. Hawse Health Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.4M
Drs Rw & Ja Love Memorial Clinic	WV	Family Medicine Physician	$0	$1.2M
West Hardy Emergency Medical Services, Inc.	WV	Land Ambulance	$132.9K	$195.8K
Calvin Bensenhaver	WV	Specialist	$97.4K	$139.8K
Hardy County Board Of Health	WV	Public Health or Welfare Agency	$49.5K	$13K
Tina Waldron	WV	Family Nurse Practitioner	$23.3K	$0
Amy Kump	WV	Physician Assistant	$23.1K	$0
Kari Spaid	WV	Family Nurse Practitioner	$19.2K	$0
Leigh Walters	WV	Physician Assistant	$18K	$0

Susan Rogers — Billing Profile & Reimbursement Data

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Susan Rogers — 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