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.

Sonia Hepburn (NPI 1760800858)

Field	Value
Entity Type	Individual
Organization	Sonia Hepburn
Address	500 Sentara Cir Ste 203
City	Williamsburg
State	VA
ZIP	23188
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	April 4, 2014

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	12,000	$40	$516K
J0897	Injection, denosumab, 1 mg	12,180	$20	$219.2K
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…	930	$90	$84.6K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	24,660	$1	$49.3K
J1568	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	1,420	$30	$46.9K
Q5122	Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg	440	$90	$38.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	300	$100	$29.1K
Q5119	Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg	1,260	$20	$27.8K
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…	230	$70	$15.7K
88185	The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…	720	$20	$12.9K

Showing 1–10 of 77

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 77 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Sonia Hepburn — 1 of 25 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

77 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	62	110	12,800	$40	$610.9K
J0897	26	340	2,820	$20	$89.3K
J1568	30	30	1,990	$30	$81.8K
Q5119	28	40	1,570	$20	$39.6K
J0881	10	80	10,200	$1	$34.5K
88185	21	60	620	$20	$34.3K
Q5122	7	40	270	$90	$32.5K
96413	93	230	250	$100	$28.5K
J9217	128	130	140	$130	$23.9K
99214	554	12,890	140	$80	$21K

Showing 1–10 of 77

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Oncology Associates	VA	Hematology & Oncology Physician	$0	$6.2M
Maryland Oncology Hematology P.A.	MD	Hematology & Oncology Physician	$0	$4.6M
Victor Archie	VA	Radiation Oncology Physician	$4M	$0
Julia Schaefer-cutillo	NC	Hematology & Oncology Physician	$4M	$0
Mark Fleming	VA	Hematology & Oncology Physician	$3.9M	$0
Thomas Alberico	VA	Hematology & Oncology Physician	$3.5M	$0
David Kobulnicky	VA	Hematology & Oncology Physician	$3M	$0
Celesteann Bremer	VA	Hematology & Oncology Physician	$2.8M	$0
Bo Zhao	VA	Hematology & Oncology Physician	$2.6M	$0
Michael Lee	VA	Specialist	$2.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Hospitals	VA	General Acute Care Hospital	$0	$21.9M
Velocity Urgent Care, LLC	VA	Urgent Care Clinic/Center	$0	$20.9M
Addiction Recovery Center Of Virginia	VA	Clinic/Center	$0	$6M
Evolution Recovery Services LLC	VA	Addiction (Substance Use Disorder) Counselor	$0	$5.6M
John Paschold	VA	Specialist	$1.6M	$0
Surgical Suites Of Coastal Virginia, LLC	VA	Ambulatory Surgical Clinic/Center	$1.3M	$8.7K
Audra Albert	VA	Family Nurse Practitioner	$639.8K	$0
Aleisha Johnson	VA	Diagnostic Radiology Physician	$626.6K	$0
Pranav Parikh	VA	Internal Medicine Physician	$579K	$0
John Nordlund	VA	Ophthalmology Physician	$576.1K	$0

Sonia Hepburn — Billing Profile & Reimbursement Data

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Sonia Hepburn — 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