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

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

Kristen Sosa (NPI 1144622333)

Field	Value
Entity Type	Individual
Organization	Kristen Sosa
Address	230 S Gulf St
City	Alice
State	TX
ZIP	78332
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 19, 2014

Payer Source	Total Paid
Medicare	$1.5M
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
Q4281	Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure)	1,180	$1,250	$1.5M
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	60	$90	$5.5K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	10	$90	$1.3K

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. Texas Distribution

Kristen Sosa — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4281	2	10	890	$1,250	$1.3M
15271	66	120	70	$100	$9.9K
99344	274	340	20	$90	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
April Lopez	TX	Family Nurse Practitioner	$6.7M	$0
Rohit Adyanthaya	VA	Ophthalmology Physician	$4.1M	$0
Ricky Alaniz	TX	Optometrist	$77.9K	$3.7M
Jeremiah Brown	TX	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Joseph Khawly	TX	Ophthalmology Physician	$3.2M	$0
Howard Martin	TX	Dermatopathology (Pathology) Physician	$3M	$0
Moises Chica	TX	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Andres Soriano	FL	Medical Oncology Physician	$2.4M	$0
Sara Rosado	TX	Physician Assistant	$2.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Home Healthcare, LLC	TX	Home Health Agency	$0	$56.9M
Gold Horses, LLC	TX	Home Health Agency	$0	$54.2M
Lando, Inc.	TX	Home Health Agency	$0	$53.2M
Mi Casa Nursing Services Home Health LLC	TX	Home Health Agency	$0	$47.5M
Community Action Corporation Of South Texas	TX	Early Intervention Provider Agency	$0	$35.2M
Saldivar Coastal Services, Inc.	TX	Personal Care Attendant	$0	$25M
Sergio Cantu	TX	Family Medicine Physician	$1.1M	$0
Suraj Kamat	TX	Cardiovascular Disease Physician	$569.3K	$0
Carlos Elizondo	TX	Family Medicine Physician	$366.6K	$0
Usman Qureshi	TX	Cardiovascular Disease Physician	$219.5K	$0

Kristen Sosa — Billing Profile & Reimbursement Data

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Kristen Sosa — 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