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

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

Seth Wolpert (NPI 1164498564)

Field	Value
Entity Type	Individual
Organization	Seth Wolpert
Address	401 Phalen Blvd
City	St Paul
State	MN
ZIP	55101
Taxonomy	Surgery Physician
NPI Enumerated	February 24, 2006

Payer Source	Total Paid
Medicare	$12.2K
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
99203	The provider sees a new 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 provider…	60	$80	$4.8K
49505	The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.	10	$390	$4.3K
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…	10	$130	$1.8K
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…	20	$60	$1.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$120

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. Minnesota Distribution

Seth Wolpert — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
49505	4	10	20	$610	$9.2K
99213	7,743	9,120	50	$50	$4K
99204	2,636	3,340	20	$110	$3.6K
99203	332	2,690	20	$70	$2.3K
36415	3,261	3,480	80	$10	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ramsey County Community Human Services	MN	Public Health or Welfare Agency	$0	$97.5M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
South Metro Human Services- Tcm	MN	Case Management Agency	$0	$21.3M
Regions Hospital	MN	Emergency Medicine Physician	$0	$15.1M
South Metro Human Services-act Purple	MN	Case Management Agency	$0	$10.9M
South Metro Human Services-act Blue	MN	Case Management Agency	$0	$9.9M
Specialized Treatment Services, Inc.	MN	Methadone Clinic	$444.6K	$6.4M
Gillette Children's Specialty Healthcare	MN	Multi-Specialty Clinic/Center	$0	$5.4M
Prasongchai Sattayaprasert	MN	Cardiovascular Disease Physician	$238.9K	$1.1K
Wilfrido Castaneda	MN	Diagnostic Radiology Physician	$151.2K	$0

Seth Wolpert — Billing Profile & Reimbursement Data

Sign up for Seth Wolpert — Billing Profile & Reimbursement Data policy alerts

Seth Wolpert — Billing Profile & Reimbursement Data

Sign up for Seth Wolpert — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References