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

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

Simone Vernez (NPI 1821524570)

Field	Value
Entity Type	Individual
Organization	Simone Vernez
Address	12607 Se Mill Plain Blvd
City	Vancouver
State	WA
ZIP	98684
Taxonomy	Urology Physician
NPI Enumerated	May 2, 2017

Payer Source	Total Paid
Medicare	$7.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
55866	The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…	20	$150	$3.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$110	$2.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$70	$1.4K
38571	The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…	20	$50	$920

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Simone Vernez — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
55866	5	20	20	$650	$11.7K
99232	2,712	3,100	70	$60	$7.5K
38571	3	20	20	$200	$3.3K
99222	908	1,690	20	$100	$3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carenexa, LLC	WA	Clinical Medical Laboratory	$1.1M	$26.3M
Pacific Northwest Renal Services, L.L.C.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.5M
Tristan Bice	WA	Hematology & Oncology Physician	$605.8K	$0
David Cosgrove	WA	Medical Oncology Physician	$600.8K	$0
Magdolna Solti	WA	Hematology & Oncology Physician	$590.9K	$0
Zheng Qian	WA	Dermatology Physician	$577.2K	$0
Michaelann Liss	WA	Hematology & Oncology Physician	$516.3K	$0
Scott Schneider	WA	Radiation Oncology Physician	$382.3K	$0
Faisal Siddiqui	WA	Radiation Oncology Physician	$377.2K	$0
Thomas Busick	WA	Dermatology Physician	$171.8K	$0

Simone Vernez — Billing Profile & Reimbursement Data

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Simone Vernez — 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