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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Watson (NPI 1184685646)

Field	Value
Entity Type	Individual
Organization	Susan Watson
Address	11081 Forest Pines Dr
City	Raleigh
State	NC
ZIP	27614
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicare	$72.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	60	$950	$53.1K
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…	130	$90	$11.3K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	30	$130	$3.8K
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…	20	$110	$2.1K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	100	$20	$1.5K
67820	The provider removes deviated or abnormal eyelashes, a condition known as trichiasis. He uses forceps to extract the unwanted lashes that cause eye irritation.	20	$20	$380

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Susan Watson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
65778	2	10	30	$960	$33.8K
99214	8,224	18,060	110	$80	$15.1K
68761	29	60	30	$90	$9.1K
99204	5,788	8,430	30	$110	$4.8K
92285	46	130	60	$10	$1.7K
67820	35	70	20	$10	$380

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Robertson	NC	Ophthalmology Physician	$528.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johnson & Morris PLLC	NC	Pediatric Dentistry	$0	$15M
Touchstone Residential Services	NC	Community/Behavioral Health Agency	$0	$14.9M
Abilitations Children's Therapy & Wellness Center	NC	Physical Therapist	$0	$7.3M
Rex Surgery Center Of Wakefield, LLC	NC	Ambulatory Surgical Clinic/Center	$545.5K	$141.3K
Michelle Fegeley	NC	Physician Assistant	$396.1K	$0
David Michel	NC	Rheumatology Physician	$332.4K	$0
Orthonc Asc, LLC	NC	Ambulatory Surgical Clinic/Center	$301.3K	$0
Lavinia Reyes	NC	Internal Medicine Physician	$231.4K	$0
Derek Watson	NC	Physical Medicine & Rehabilitation Physician	$220.7K	$0
Clifford Wheeless	NC	Orthopaedic Surgery Physician	$210.7K	$0

Susan Watson — Billing Profile & Reimbursement Data

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Susan Watson — 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