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

Why is the Medicaid comparison limited to New York 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. New York (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.

Cynthia Sommer (NPI 1285190678)

Field	Value
Entity Type	Individual
Organization	Cynthia Sommer
Address	165 Broadway Fl 23
City	New York
State	NY
ZIP	10006
Taxonomy	Nurse Practitioner
NPI Enumerated	February 11, 2019

Payer Source	Total Paid
Medicare	$102.6K
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
64445	The provider injects one or more anesthetic agents and/or a steroid into the area of the sciatic nerve, which supplies the skin and muscles of the leg. Report this code for one or more injections…	400	$160	$63.2K
64447	The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…	400	$60	$22.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	$110	$7.9K
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…	90	$50	$4.3K
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…	30	$70	$2.1K
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	$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 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Cynthia Sommer — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	26,472	30,450	90	$100	$19K
99213	12,558	31,440	80	$70	$12.1K
G0439	2,843	6,290	50	$130	$11.2K
64445	10	50	20	$150	$9.1K
99204	12,285	14,170	30	$130	$6.6K
64447	10	420	20	$50	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acclaim Physician Group, Inc	TX	Internal Medicine Physician	$0	$30.9M
Busola Amurawaiye	TX	Family Nurse Practitioner	$1.7M	$0
Harshal Broker	TX	Vascular Surgery Physician	$1.2M	$0
Tami Roberts	TX	Family Medicine Physician	$1.1M	$0
Jennifer Mcintosh	TX	Family Nurse Practitioner	$886.8K	$0
Randall Hays	TX	Family Medicine Physician	$843.6K	$0
Dionna Dalzell	TX	Neurological Surgery Physician	$734.3K	$0
Chanel Tinsley	TX	Family Nurse Practitioner	$710.6K	$0
Alma Horrilleno	TX	General Practice Physician	$595.7K	$0
Stephanie Whitwell	TX	Acute Care Nurse Practitioner	$551.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coordinated Behavioral Care, Inc	NY	Case Management Agency	$0	$407.1M
Jisun Cha	NY	Dermatopathology Physician	$1.3M	$5.7K
Yevgeniy Sorokin	NY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$595.1K	$0
Jeanjacques Mbabuike	NY	General Practice Physician	$482.9K	$9.9K
Alexander Slotwiner	NY	Interventional Cardiology Physician	$169K	$96.8K
Alan Greenspan	NY	Dermatology Physician	$230K	$0
Jeffrey Goldstein	NY	Orthopaedic Surgery of the Spine Physician	$151.6K	$0
Brian Waldron	NY	Neuromusculoskeletal Medicine & OMM Physician	$124.5K	$0
Mendel Markowitz	NY	Oral and Maxillofacial Surgery (Dentist)	$97.6K	$0
Eileen Janec	NY	Gastroenterology Physician	$73.2K	$0

Cynthia Sommer — Billing Profile & Reimbursement Data

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Cynthia Sommer — 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