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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Wheeler (NPI 1750352076)

Field	Value
Entity Type	Individual
Organization	Sara Wheeler
Address	491 John Young Way
City	Exton
State	PA
ZIP	19341
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicare	$14.6K
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
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	160	$40	$6.4K
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…	60	$70	$3.9K
58100	The provider takes a tissue sample from the lining of the uterus to perform an endometrial biopsy without widening the cervix. The provider may also perform endocervical biopsy.	20	$80	$1.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$40	$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…	20	$70	$1.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	10	$60	$670

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. Pennsylvania Distribution

Sara Wheeler — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	12,656	22,370	70	$60	$7.7K
99203	5,679	7,330	30	$70	$3.5K
99212	2,525	4,720	30	$40	$2.3K
G0101	53	1,030	30	$40	$2K
99202	866	1,040	20	$50	$1.5K
58100	6	30	10	$70	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional Womens Health Group LLC	PA	Obstetrics & Gynecology Physician	$0	$5.8M
Joel Wolf	PA	Vascular & Interventional Radiology Physician	$1.3M	$4.7K
Tim Zheng	PA	Anatomic Pathology & Clinical Pathology Physician	$907.5K	$0
Keerthi Prasad	TX	Vascular & Interventional Radiology Physician	$666.7K	$0
Robert Wold	NJ	Diagnostic Radiology Physician	$451.7K	$0
Rhonda Stewart	NC	Diagnostic Radiology Physician	$265.7K	$61.8K
Monish Merchant	FL	Vascular & Interventional Radiology Physician	$306.8K	$120
Kenneth Fox	NC	Diagnostic Radiology Physician	$303K	$360
Vincent Lucente	PA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$156.5K	$0
Miles Murphy	PA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$139.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (pa), LLC	PA	Home Health Agency	$0	$30.4M
Chester County Home Care Associates, LLC	PA	Home Health Agency	$0	$13.6M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$8.9M
Eye Surgery Center Of Chester County, LLC	PA	Ambulatory Surgical Clinic/Center	$2.4M	$0
Joshua Cantor	PA	Anatomic Pathology & Clinical Pathology Physician	$2.2M	$140.6K
Sucharitha Shanmugam	PA	Rheumatology Physician	$1.8M	$0
Aerlyn Dawn	PA	Dermatology Physician	$1.2M	$0
Scott Gottlieb	PA	Dermatology Physician	$1.1M	$0
Michael Lehrer	PA	MOHS-Micrographic Surgery Physician	$859.6K	$0
Premier At Exton Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$839.6K	$3.3K

Sara Wheeler — Billing Profile & Reimbursement Data

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Sara Wheeler — 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