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

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

Angela Sommerset (NPI 1316007362)

Field	Value
Entity Type	Individual
Organization	Angela Sommerset
Address	8191 Madison Blvd
City	Madison
State	AL
ZIP	35758
Taxonomy	Family Medicine Physician
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicare	$35K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	$110	$11.2K
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…	110	$90	$9.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$120	$6.8K
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…	100	$50	$5K
36410	In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.	120	$10	$1.4K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	10	$40	$430
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	10	$40	$400
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	70	$1	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Angela Sommerset — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,766	7,330	120	$80	$16.8K
G0439	863	1,520	70	$120	$11K
99215	334	1,710	40	$110	$8.1K
99213	2,722	6,470	80	$50	$7.9K
G0101	279	290	30	$30	$1.4K
Q0091	149	160	20	$40	$1.2K
36410	2	20	20	$10	$320
81002	179	850	30	$1	$210

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Samaritan Hospice Of Madison Inc.	AL	Community Based Hospice Care Agency	$0	$5.2M
Integrated Behavioral Health, Inc.	AL	Psychiatry Physician	$0	$4.1M
Cornerstone Pediatrics, P.C	AL	Pediatrics Physician	$0	$3.9M
Brightstarts Pediatrics PC	AL	Clinic/Center	$0	$3.6M
Singing River Dentistry Treehouse, LLC	AL	Pediatric Dentistry	$0	$2.2M
North Alabama Oral And Facial Surgery LLC	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Joseph Dai	AL	Dermatology Physician	$1.6M	$0
Madison Valley Pediatrics	AL	Pediatrics Physician	$0	$1.4M
Angelo Mancuso	AL	Procedural Dermatology Physician	$1.3M	$0
Vernon Forrester	AL	MOHS-Micrographic Surgery Physician	$1.3M	$0

Angela Sommerset — Billing Profile & Reimbursement Data

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Angela Sommerset — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References