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

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

Sara Mccoy (NPI 1639480650)

Field	Value
Entity Type	Individual
Organization	Sara Mccoy
Address	5502 Upland Trl
City	Middleton
State	WI
ZIP	53562
Taxonomy	Rheumatology Physician
NPI Enumerated	June 24, 2010

Payer Source	Total Paid
Medicare	$8.3K
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…	70	$70	$4.3K
42405	The provider takes tissue samples from the salivary gland through a skin incision over the salivary gland. He sends the samples for pathological analysis.	10	$170	$1.9K
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…	20	$90	$1.4K
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…	10	$50	$540
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$240

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. Wisconsin Distribution

Sara Mccoy — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,413	9,800	80	$70	$9.2K
99215	2,719	3,320	30	$110	$6.3K
99213	9,286	9,380	60	$50	$4.7K
36415	1,710	2,300	70	$10	$2.3K
42405	1	10	10	$170	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wisconsin Medical Foundation, Inc	WI	Multi-Specialty Clinic/Center	$0	$15.2M
Chartwell Midwest Wisconsin, LLC	WI	Home Infusion Therapy Pharmacy	$0	$8M
Chartwell Midwest Wisconsin, LLC	WI	Oxygen Equipment & Supplies (DME)	$0	$5.1M
Middleton-cross Plains Area School District	WI	Contractor	$0	$2.2M
City Of Middleton	WI	Land Ambulance	$245.1K	$265.7K
Jonathan Chang	WI	Ophthalmology Physician	$448.5K	$0
Jennifer Larson	WI	Ophthalmology Physician	$294.5K	$0
Walgreen Co	WI	Pharmacy	$213.2K	$5.1K
Costco Wholesale Corporation	WI	Community/Retail Pharmacy	$187.2K	$0
Walgreen Co	WI	Pharmacy	$177.5K	$3.1K

Sara Mccoy — Billing Profile & Reimbursement Data

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Sara Mccoy — 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