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

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

Sonja Vigil (NPI 1609115658)

Field	Value
Entity Type	Individual
Organization	Sonja Vigil
Address	35339 Richland St
City	Livonia
State	MI
ZIP	48150
Taxonomy	Occupational Therapist
NPI Enumerated	February 12, 2013

Payer Source	Total Paid
Medicare	$40.6K
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
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	610	$20	$12.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	430	$20	$9.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	510	$20	$9.1K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	270	$20	$5.1K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	60	$80	$4.3K

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. Michigan Distribution

Sonja Vigil — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	653	2,060	280	$20	$10.4K
97110	851	2,540	350	$20	$9.1K
97112	1,094	2,130	280	$20	$8.7K
97535	14	650	50	$20	$2.4K
97165	3	70	20	$70	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kathryn Rutherford	AZ	Physical Therapist	$230.5K	$0
Jacqueline Johnson	MO	Physical Therapist	$187.3K	$0
Chitra Subbaraj	VA	Physical Therapist	$187.1K	$0
Mohammad Mohiddin	WA	Internal Medicine Physician	$143K	$0
Kelly Wininger	VA	Physical Therapist	$136.5K	$0
Amy Andrews	KS	Geriatric Physical Therapist	$136.2K	$0
Seonhee Baik	IA	Occupational Therapist	$130.2K	$0
Jessica Sisa	GA	Occupational Therapist	$125.3K	$0
Alex Wagner	NE	Physical Therapist	$123.8K	$0
Tyler Smith	UT	Physical Therapist	$122.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$72.8M
Lajoy Group	MI	Home Health Agency	$0	$46M
Lajoy Fi	MI	Supports Brokerage Agency	$0	$45.1M
Hegira Health, Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.4M
Wayne Center	MI	Psychologist	$0	$22.6M
Domel Incorporated	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21M
New Outlook, Inc.	MI	Adult Companion	$0	$17.6M
Inpatient Consultants Of Michigan PC	MI	Hospitalist Physician	$0	$12.9M
Zelexa, LLC	MI	Behavior Analyst	$0	$12M
Resource Transportation Group, LLC	MI	Non-emergency Medical Transport (VAN)	$0	$6.8M

Sonja Vigil — Billing Profile & Reimbursement Data

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Sonja Vigil — 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