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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Nicole Sunga (NPI 1578215141)

Field	Value
Entity Type	Individual
Organization	Nicole Sunga
Address	591 Franklin Ave
City	Nutley
State	NJ
ZIP	07110
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 24, 2022

Payer Source	Total Paid
Medicare	$27.1K
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
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	$90	$21.3K
99426	Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…	60	$50	$2.5K
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…	20	$120	$2.1K
99427	Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…	30	$40	$950
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	30	$10	$280

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. New Jersey Distribution

Nicole Sunga — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,664	13,640	130	$90	$23.6K
99426	17	30	80	$50	$10.2K
99204	5,599	7,160	40	$130	$6.5K
93000	2,204	3,440	50	$10	$2.1K
99427	6	10	30	$40	$1.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nicole Sunga, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Associates Of Englewood, PC	NJ	Internal Medicine Physician	$0	$36.9M
Jersey Irish Medical	NJ	Urgent Care Clinic/Center	$0	$25.9M
Shah Anuj Md PC	NJ	Interventional Cardiology Physician	$0	$8.8M
Ananth Shankar	NY	Nuclear Cardiology Physician	$358.3K	$5.3M
Joseph Degregorio	NJ	Cardiovascular Disease Physician	$2.7M	$0
Sarika Sharma	NJ	Specialist	$740.1K	$90.7K
Mariem Abedullah	NJ	Family Nurse Practitioner	$672.2K	$0
Anuj Shah	NJ	Internal Medicine Physician	$559.1K	$7.4K
Asit Shah	NJ	Orthopaedic Surgery Physician	$495.7K	$0
Mena Yacoub	NY	Clinical Cardiac Electrophysiology Physician	$480.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Essex Medical Day Care LLC	NJ	Adult Day Care Clinic/Center	$0	$29.3M
Roman Rubin	NJ	Community/Behavioral Health Agency	$0	$8.8M
Metro Ambulance LLC	NJ	Land Ambulance	$2.9M	$496K
Jan Youssef	NJ	Specialist	$192.5K	$1.9M
James Agresti	NJ	Internal Medicine Physician	$382.1K	$2.3K
Frank Femino	NJ	Specialist	$368.2K	$0
Dominick Ligresti	NJ	Specialist	$275.3K	$38.8K
Edward Vecchione	NJ	Internal Medicine Physician	$253.8K	$0
Philip Fiore	NJ	Ophthalmology Physician	$250.4K	$0
Ligaya Prystowsky	NJ	Ophthalmology Physician	$208.4K	$0

Nicole Sunga — Billing Profile & Reimbursement Data

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Nicole Sunga — 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