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

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

Carolyn Wilson (NPI 1720159056)

Field	Value
Entity Type	Individual
Organization	Carolyn Wilson
Address	2955 Ivy Rd Ste 104
City	Charlottesville
State	VA
ZIP	22903
Taxonomy	Gynecology Physician
NPI Enumerated	November 10, 2006

Payer Source	Total Paid
Medicare	$24K
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
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…	170	$70	$11.4K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	260	$30	$6.9K
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…	50	$50	$2.6K
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…	20	$100	$1.6K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	50	$20	$950
56605	In this procedure, the provider excises suspicious tissue from a single lesion in the vulva or perineum, in the external female genital area. She submits the specimen to a laboratory for analysis and…	10	$40	$430

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. Virginia Distribution

Carolyn Wilson — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,597	12,890	140	$80	$21K
99213	8,128	12,440	90	$60	$10K
99204	5,626	6,850	40	$110	$5.9K
G0101	7	530	30	$40	$1.9K
Q0091	42	210	20	$40	$1.8K
56605	1	10	10	$40	$450

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Ten Community Community Services Board	VA	Community/Behavioral Health Agency	$0	$116.8M
Rector & Visitors Of The University Of Virginia	VA	Home Infusion Agency	$0	$10.3M
City Of Charlottesville	VA	Ambulance	$349.8K	$1.4M
Nader Moinfar	VA	Ophthalmology Physician	$1.4M	$0
Joon Suk Hwang	VA	Podiatrist	$368K	$880
Andrew Pittner	VA	Ophthalmology Physician	$353.8K	$0
Matthew Holland	VA	Pain Medicine (Anesthesiology) Physician	$299.7K	$0
Albert Jun	VA	Ophthalmology Physician	$245.8K	$0
Lindsay Friesen	VA	Internal Medicine Physician	$204.8K	$0
Justin Smith	VA	Neurological Surgery Physician	$195.2K	$0

Carolyn Wilson — Billing Profile & Reimbursement Data

Sign up for Carolyn Wilson — Billing Profile & Reimbursement Data policy alerts

Carolyn Wilson — Billing Profile & Reimbursement Data

Sign up for Carolyn Wilson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References