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.

Sophia Wilson (NPI 1457613861)

Field	Value
Entity Type	Individual
Organization	Sophia Wilson
Address	2950 Cleveland Clinic Blvd
City	Weston
State	FL
ZIP	33331
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 12, 2012

Payer Source	Total Paid
Medicare	$640
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98966	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	50	$10	$410
98967	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	20	$20	$240

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Sophia Wilson — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98966	1	40	20	$10	$380
98967	4	10	20	$20	$320

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Health S, LLC	FL	Clinical Medical Laboratory	$13.6M	$9.2M
Variety Children's Hospital	FL	Children's Hospital	$0	$22.8M
Roberto Pancorbo	FL	Rheumatology Physician	$1.1M	$0
Chakra Chaulagain	FL	Hematology & Oncology Physician	$853.2K	$0
Kevin Cairns	FL	Pain Medicine Physician	$696K	$0
Guillermo Davila	FL	Obstetrics & Gynecology Physician	$313.6K	$0
Huan Huynh	FL	Epilepsy Physician	$65.4K	$227.6K
Parikshit Sharma	FL	Clinical Cardiac Electrophysiology Physician	$211.1K	$60.7K
Glenan Rodriguez	FL	Nurse Practitioner	$223.8K	$0
Amer Hanano	FL	Diagnostic Radiology Physician	$186.5K	$0

Sophia Wilson — Billing Profile & Reimbursement Data

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Sophia Wilson — 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