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

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

Bernice Mucius-penha (NPI 1568628527)

Field	Value
Entity Type	Individual
Organization	Bernice Mucius-penha
Address	14024 Wiley Cir
City	Midlothian
State	VA
ZIP	23114
Taxonomy	Family Medicine Physician
NPI Enumerated	July 30, 2008

Payer Source	Total Paid
Medicare	$16.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	80	$110	$8.7K
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…	90	$60	$5.4K
G2251	Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient,…	100	$10	$860
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	70	$10	$660
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	$40	$660

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Bernice Mucius-penha — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,959	12,890	140	$80	$21K
99213	11,602	12,440	90	$60	$10K
99215	1,108	4,030	40	$120	$9.5K
G2251	1	10	100	$10	$830
G2012	4	20	40	$10	$420

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bernice Mucius-penha, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bon Secours St Francis Medical Center LLC	VA	General Acute Care Hospital	$0	$44.9M
Shaival Kapadia	VA	Cardiovascular Disease Physician	$781.5K	$0
Ramesh Kundur	VA	Cardiovascular Disease Physician	$522.7K	$90
Calvin Newton	VA	Cardiovascular Disease Physician	$516.3K	$0
Edson De Guzman	VA	Cardiovascular Disease Physician	$480.9K	$0
Peter Ro	VA	Internal Medicine Physician	$470.8K	$0
Vijay Marwaha	NJ	Cardiovascular Disease Physician	$445.5K	$80
Charles Joyner	VA	Clinical Cardiac Electrophysiology Physician	$360K	$0
Matthew Ngo	VA	Clinical Cardiac Electrophysiology Physician	$295.4K	$0
Rishika Kaundal	VA	Family Medicine Physician	$265.2K	$0

Nearby Providers

Other providers in the same ZIP code as Bernice Mucius-penha, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeremy Kennedy	VA	Dermatology Physician	$483.5K	$0
Omar Shams	VA	Cardiovascular Disease Physician	$338.9K	$0
Stephen Young	VA	Endocrinology, Diabetes & Metabolism Physician	$320.8K	$0
David Holst	VA	Orthopaedic Surgery Physician	$284.7K	$0
Mark Hadfield	VA	Orthopaedic Surgery Physician	$271.5K	$0
Donald Yeatts	VA	Family Medicine Physician	$271K	$0
Amber Sykes	VA	Physician Assistant	$214.8K	$0
Paul Kiritsis	VA	Orthopaedic Surgery Physician	$206.7K	$0
Timothy Wittenauer	VA	Physical Therapist	$177.9K	$0
Joseph Kim	VA	Orthopaedic Surgery of the Spine Physician	$160.1K	$0

Bernice Mucius-penha — Billing Profile & Reimbursement Data

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Bernice Mucius-penha — 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