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.

Michael Sweet (NPI 1700895570)

Field	Value
Entity Type	Individual
Organization	Michael Sweet
Address	3811 Spring St
City	Racine
State	WI
ZIP	53405
Taxonomy	Plastic Surgery Physician
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicare	$5.6K
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
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	10	$120	$1.7K
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…	10	$100	$1.3K
11642	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	20	$80	$1.2K
99203	The provider sees a new 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 provider…	10	$60	$690
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	$660

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

Michael Sweet — 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
99213	8,821	9,380	60	$50	$4.7K
99204	2,895	3,390	30	$100	$3.7K
12052	30	40	20	$110	$3.6K
11642	8	10	20	$120	$3.1K
99203	2,660	2,820	30	$60	$2.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension All Saints Hospital, Inc	WI	General Acute Care Hospital	$0	$70.1M
Racine Tooth Town Dentistry For Kids	WI	Dental Clinic/Center	$0	$6.5M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.4M
Inder Singh	WI	Ophthalmology Physician	$272.4K	$0
Elizabeth Ralston	WI	Family Nurse Practitioner	$175.2K	$68.6K
Muhammad Sarki	WI	Interventional Cardiology Physician	$213.4K	$0
Radha Sanka	WI	Ophthalmology Physician	$211.6K	$0
Thomas Matkov	WI	Urology Physician	$138.7K	$0
Eki Drake	WI	Adult Health Nurse Practitioner	$121K	$3.7K
Shariff Attaya	WI	Clinical Cardiac Electrophysiology Physician	$92.2K	$0

Michael Sweet — Billing Profile & Reimbursement Data

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Michael Sweet — 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