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.

Valerie Sugiyama (NPI 1548336795)

Field	Value
Entity Type	Individual
Organization	Valerie Sugiyama
Address	1409 E Briggsmore Ave
City	Modesto
State	CA
ZIP	95355
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicare	$48.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	230	$110	$24.4K
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…	90	$160	$13.8K
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…	20	$190	$4.6K
58571	The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…	10	$330	$3.6K
Q3014	Telehealth originating site facility fee	50	$20	$1.1K
56605	In this procedure, the provider excises suspicious tissue from a single lesion in the vulva or perineum, in the external female genital area. She submits the specimen to a laboratory for analysis and…	10	$80	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Valerie Sugiyama — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,933	37,970	120	$90	$23.2K
99215	4,987	15,360	50	$130	$14.4K
58571	52	60	20	$590	$10.7K
99205	4,807	8,360	30	$170	$7.2K
Q3014	109	210	60	$20	$2.1K
56605	1	10	10	$60	$780

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$76.1M
Cep America - California	CA	Emergency Medicine Physician	$0	$31.8M
Sutter Valley Medical Foundation	CA	Clinical Medical Laboratory	$3.7M	$303K
Stephen Liu	CA	Vascular & Interventional Radiology Physician	$2.3M	$0
Cesar Tumakay	CA	Diagnostic Radiology Physician	$1.4M	$0
Kent Wong	CA	Cardiovascular Disease Physician	$499.6K	$0
Raman Moradkhan	CA	Clinical Cardiac Electrophysiology Physician	$499.1K	$0
Patrick Rhoades	CA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$444.4K	$0
Ronak Shah	CA	Nephrology Physician	$431.3K	$0
Amarjit Dhaliwal	CA	Hematology & Oncology Physician	$407.2K	$16.7K

Valerie Sugiyama — Billing Profile & Reimbursement Data

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Valerie Sugiyama — 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