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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Hubert Watty (NPI 1518904937)

Key Findings

Field	Value
Entity Type	Individual
Organization	Hubert Watty
Address	Plot 6 Clifton Hill
City	Kingshill
State	VI
ZIP	00850
Taxonomy	Family Medicine Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicare	$143.1K
Medicaid	$0

Provider profile and payer scale: HUBERT WATTY is a Family Medicine Physician based in KINGSHILL, VI with an NPI enumerated 2006-06-02 (~20 years ago). Lifetime Medicare revenue on file totals $143.1K and there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in the available claims data. Analysts should treat Medicare as the operating revenue base for competitive and utilization comparisons.

Revenue concentration is heavily skewed toward a single service line: the precomputed top-3 Medicare codes account for 86.3% of the provider's total Medicare revenue. Those top three codes are 99215 ($105.9K, 74.2% of Medicare revenue), 99214 ($10.1K, 7.1%), and G0439 ($7.2K, 5.0%), indicating most Medicare dollars flow from a small set of evaluation/management and wellness visit services. This concentration creates sensitivity to changes in utilization or payment for those codes.

Business and service-line implications: the code mix (dominant 99215 and secondary 99214 plus G0439) indicates a high-volume primary care practice delivering a large number of high-intensity established-patient E/M visits and annual wellness visits. The claims profile also shows routine primary-care services performed onsite — immunizations (G0008: 117 claims, $3.6K; 90688: 128 claims, $2.6K), basic injections (96372: 172 claims, $1.9K) and point-of-care testing — consistent with a comprehensive family medicine office model rather than a procedure-focused specialty.

Competitive standing for headline codes is mixed: 99215 is an extreme national outlier (rank #368 of 145531 providers and described as 'extreme outlier, far above typical national volume for this code'), signaling the provider delivers unusually high volume of high-level E/M visits relative to national peers. By contrast, 99214 (rank #229784 of 479517, 'typical, unremarkable volume') and G0439 (rank #54246 of 105855, 'typical, unremarkable volume') sit near typical national volumes, suggesting dominance is concentrated specifically in the highest-level established-patient visits rather than across the full E/M spectrum.

High relative volumes in point-of-care testing and diabetes monitoring: the provider reported 81001 (771 claims, $2.3K) and 82962 (496 claims, $1.5K) and 82043 (280 claims, $1.7K). Notably, 82962 is characterized as 'notably above typical national volume' while 81001 and 82043 are labeled in the source as 'typical, unremarkable volume' despite high percentile rankings, which together point to a strong on-site testing footprint that supports chronic disease management and rapid diagnostics in-office. This pattern reinforces the impression of a longitudinal primary care practice with in-house testing capabilities.

Payment profile and low-dollar drug/injectable reporting: the file includes several drug/injectable entries with minimal net payment — for example J1885 shows 110 claims with $0 revenue and J3301 shows 108 claims with $108 revenue. These entries, together with 96372 (172 claims, $1.9K), suggest the practice bills for a mix of small-value supply/drug administrations in addition to higher-value E/M services; analysts should note the presence of claims with $0 reported revenue when reconciling utilization to paid amounts.

Operational and payer-risk implications: with $143.1K in Medicare revenue and no Medicaid billing, the provider is effectively single-payer in the available data and highly dependent on high-intensity established-patient visits (99215). Payers and provider-affiliation analysts should monitor trends in 99215 volume and the three-code concentration (86.3%) because shifts in visit mix, coding practices, or payment policy for high-level E/M could materially affect the practice's revenues and network positioning.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	910	$120	$105.9K
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…	110	$90	$10.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$130	$7.2K
G0008	Administration of influenza virus vaccine	120	$30	$3.6K
99205	The provider sees a new 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 provider…	40	$90	$3.6K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	130	$20	$2.6K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	770	$1	$2.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	170	$10	$1.9K
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	280	$10	$1.7K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	500	$1	$1.5K

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Hubert Watty — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	1	30	60	$120	$19.8K
99214	37	80	100	$80	$15.5K
G0439	8	20	60	$120	$8.1K
99205	7	20	30	$140	$4.9K
81001	2	10	770	$1	$3.9K
20610	6	10	80	$40	$3.5K
82043	4	10	360	$10	$2.3K
G0008	3	10	50	$30	$1.7K
90688	1	10	80	$20	$1.6K
69210	4	10	40	$30	$1.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agape' Wellness Center & Wound Care, LLC	VI	Family Medicine Physician	$0	$134.9K
Jason Williams	VI	Chiropractor	$5.1K	$0
Alicia Churaman	VI	Chiropractor	$5K	$0