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

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

Maija Sweeney (NPI 1366583239)

Maija Sweeney is a audiologist provider located in Melbourne, Florida. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Maija Sweeney
Address	1344 S. Apollo Blvd
City	Melbourne
State	FL
ZIP	32901
Taxonomy	Audiologist
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicare	$35.5K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	350	$30	$9.5K
92563	The provider assesses problems in the transmission of nerve impulses from the ear by computing the difference in time between when a tone is emitted and when it is heard. The test results indicate…	250	$20	$6K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	220	$30	$5.5K
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	50	$80	$4.4K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	320	$10	$3.8K
92565	The provider delivers two tones of the same frequency simultaneously to both ears to detect if a patient has unilateral hearing loss or has a pseudohypacusis condition.	130	$20	$1.9K
92537	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…	40	$30	$1.3K
92651	In this procedure, the provider measures the patient’s response to nonspecific frequency sound stimuli to determine hearing status. The service includes an interpretation and report.	20	$60	$860
92570	The provider uses this global service code which bundles a tympanometry, reflex threshold measurement, and reflex decay testing when the provider performs all three tests. This group of services…	30	$20	$820
92550	The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…	30	$20	$440

Showing 1–10 of 12

Maija Sweeney — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References