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

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

Sonia Simoes (NPI 1346406600)

Field	Value
Entity Type	Individual
Organization	Sonia Simoes
Address	390 New York Ave
City	Newark
State	NJ
ZIP	07105
Taxonomy	Nephrology Physician
NPI Enumerated	August 5, 2008

Payer Source	Total Paid
Medicare	$181.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	190	$300	$57.6K
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…	390	$110	$42.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	410	$70	$27.9K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	100	$250	$23.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70	$110	$7.4K
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…	50	$130	$7.1K
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…	80	$70	$5.5K
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…	30	$150	$4.7K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	20	$250	$4.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Sonia Simoes — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	83	240	160	$300	$52.2K
99214	2,817	13,640	130	$90	$23.6K
99232	1,247	6,220	120	$70	$18.4K
90966	9	30	70	$240	$17.6K
90961	167	200	40	$250	$13.3K
99213	8,187	14,090	100	$70	$13.1K
99215	1,514	3,750	40	$140	$12K
99222	1,160	4,370	40	$110	$6.7K
99204	3,798	7,160	40	$130	$6.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childsmiles, PA	NJ	Dentist	$0	$28.9M
Child Smiles Spec LLC	NJ	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$19.9M
New Jersey Adult Medical Day Care Center Ii	NJ	Adult Day Care Clinic/Center	$0	$7.8M
Julio Hubert	NJ	Internal Medicine Physician	$582.2K	$67.1K
Eduardo Samaniego	NJ	Family Medicine Physician	$122.9K	$201.2K
Muhammad Abdullah	NJ	Internal Medicine Physician	$94.9K	$79.3K
Firpo Guerrero	NJ	Gastroenterology Physician	$121K	$0

Sonia Simoes — Billing Profile & Reimbursement Data

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Sonia Simoes — 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