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.

Victoria Wexley (NPI 1508878455)

Victoria Wexley is a orofacial pain dentistry provider located in Los Angeles, California. This profile covers 15 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	Victoria Wexley
Address	6200 Wilshire Blvd Ste 908
City	Los Angeles
State	CA
ZIP	90048
Taxonomy	Orofacial Pain Dentistry
NPI Enumerated	August 12, 2006

Payer Source	Total Paid
Medicare	$153.3K
Medicaid	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	9,600	$10	$48K
21110	A provider applies an interdental fixation device to treat conditions like obstructive sleep apnea. In maxillary mandibular advancement, or MMA, surgery, or repositioning of the upper and lower jaws,…	50	$740	$39.4K
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…	380	$100	$37.8K
76100	The provider uses special X–ray equipment that allows viewing of only one plane of the body based upon complex movements of the equipment and scanning across the body in one direction. Images show…	90	$80	$7.2K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	50	$120	$5.7K
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…	40	$120	$5K
64405	The provider injects an anesthetic and/or steroid agent into the greater occipital nerve, a nerve arising from the second cranial nerve, also called the optic nerve. Report this code for one or more…	50	$70	$3.1K
72040	The patient has a 2– or 3–view X–ray of the neck vertebrae.	50	$40	$1.6K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	40	$40	$1.5K
70220	The provider performs X–ray examination of the paranasal sinuses by obtaining a minimum of three views. He performs the procedure for assessment of sinusitis.	50	$30	$1.5K

Showing 1–10 of 15

Victoria Wexley — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	162	400	7,640	$1	$86K
99214	7,216	37,970	120	$90	$23.2K
76100	8	20	90	$80	$21.9K
21110	1	10	30	$690	$19.2K
64615	126	220	60	$120	$14.5K
99213	31,566	34,660	80	$70	$13.2K
99204	8,537	19,360	40	$120	$7.2K
20553	255	470	50	$40	$4.4K
64405	40	100	40	$60	$3.4K
20552	255	350	30	$40	$2.3K