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.

Tonya Hoffman (NPI 1588863096)

Field	Value
Entity Type	Individual
Organization	Tonya Hoffman
Address	1815 4th St
City	Santa Rosa
State	CA
ZIP	95404
Taxonomy	Family Medicine Physician
NPI Enumerated	July 13, 2007

Payer Source	Total Paid
Medicare	$72.5K
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
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…	310	$140	$43.1K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	720	$30	$19.3K
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…	70	$110	$7.2K
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…	10	$160	$2.1K
99423	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	20	$40	$600
99422	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	30	$20	$550

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

Tonya Hoffman — 1 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	24,002	37,970	120	$90	$23.2K
99215	1,132	15,360	50	$130	$14.4K
99205	7,248	8,360	30	$170	$7.2K
99423	44	60	30	$40	$2.9K
G2212	9	1,100	40	$30	$2.1K
99422	53	140	20	$20	$900

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Santa Rosa Surgical Services LLC	CA	Ambulatory Surgical Clinic/Center	$3.3M	$0
4th Street Laser & Surgery Center Inc	CA	Ambulatory Surgical Clinic/Center	$2.4M	$163.6K
Santa Rosa Ambulatory Surgical Center Medical Group Inc	CA	Ambulatory Surgical Clinic/Center	$1.1M	$0
James O'dorisio	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$699.6K	$0
Robert Yohai	CA	Ophthalmology Physician	$277.8K	$0
Adam Kaplan	CA	Urology Physician	$245K	$0
Stefan Zechowy	CA	Otolaryngology Physician	$218.2K	$0
Robert James	CA	Urology Physician	$159.3K	$0
Jose Ballesteros	CA	Cardiovascular Disease Physician	$154.8K	$0
Peter Pappas	CA	Orthopaedic Surgery of the Spine Physician	$144.5K	$930

Tonya Hoffman — Billing Profile & Reimbursement Data

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Tonya Hoffman — 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