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

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

Sonia Dumas (NPI 1699914630)

Field	Value
Entity Type	Individual
Organization	Sonia Dumas
Address	4972 Sw 157th Pl
City	Beaverton
State	OR
ZIP	97007
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 16, 2009

Payer Source	Total Paid
Medicare	$5.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	70	$50	$3.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$30	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Sonia Dumas — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99231	212	620	40	$40	$1.9K
99221	6	120	20	$60	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ubh Of Oregon, LLC	OR	Psychiatric Hospital	$0	$1.3M
Cyril Kuriakose	OR	Nephrology Physician	$130.3K	$0
Zane Curtis	OR	Psychiatry Physician	$71K	$0
Brian Esparza	OR	Psychiatry Physician	$30.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sequoia Mental Health Services Inc	OR	Community/Behavioral Health Agency	$0	$27.6M
Scholls Family Care	OR	Family Medicine Physician	$0	$1.4M
Walgreen Co	OR	Pharmacy	$95.9K	$0
David Larson	OR	Internal Medicine Physician	$73.4K	$7.9K
Nayana Kode	OR	Physical Therapist	$49.5K	$0
Amy Friday	OR	Clinical Neuropsychologist	$23K	$0
Marilyn Stephens	OR	Clinical Social Worker	$13.4K	$0
Randolph Smith	OR	Speech-Language Pathologist	$2.7K	$0

Sonia Dumas — Billing Profile & Reimbursement Data

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Sonia Dumas — 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