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

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

William Sommers (NPI 1417273202)

Field	Value
Entity Type	Individual
Organization	William Sommers
Address	60 Easter Ave
City	Weaverville
State	CA
ZIP	96093
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 19, 2010

Payer Source	Total Paid
Medicare	$20K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	90	$80	$7.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	110	$50	$5.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	170	$20	$4.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20	$140	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

William Sommers — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	3,631	5,310	110	$140	$19.9K
99284	1,157	5,660	50	$90	$6.1K
99283	31	1,960	20	$50	$1.4K
99282	1	140	20	$30	$610

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Texas Medicine Resources, LLP	TX	Emergency Medicine Physician	$0	$29.6M
Samuel Jurca	ID	Family Medicine Physician	$24M	$0
Salar Hakham	CA	Vascular & Interventional Radiology Physician	$2.6M	$350
Victor Shi	CA	Vascular & Interventional Radiology Physician	$2.2M	$280
Colbert Perez	TX	Interventional Cardiology Physician	$2M	$0
David Filsoof	CA	Cardiovascular Disease Physician	$1.3M	$0
Katan Patel	TX	Emergency Medicine Physician	$1.3M	$0
Kishore Rasamallu	GA	Internal Medicine Physician	$1M	$0
Gregory Messner	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1M	$0
Ramin Akhavan	VA	Diagnostic Radiology Physician	$707.1K	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Redding Rancheria	CA	Federally Qualified Health Center (FQHC)	$0	$29.7M
Julie Roselli	CA	Certified Registered Nurse Anesthetist	$91.1K	$0
Dale Stemple	CA	Cardiovascular Disease Physician	$5.6K	$0

William Sommers — Billing Profile & Reimbursement Data

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William Sommers — 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