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

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

Joan Sommers (NPI 1851460067)

Field	Value
Entity Type	Individual
Organization	Joan Sommers
Address	111 Salem Turnpike
City	Norwich
State	CT
ZIP	06360
Taxonomy	Registered Dietitian
NPI Enumerated	November 6, 2006

Payer Source	Total Paid
Medicare	$5.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	130	$30	$3.7K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	60	$30	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Joan Sommers — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97803	3	10	90	$30	$2.8K
97802	9	10	60	$30	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Ct Medical Foundation, Inc.	CT	Family Medicine Physician	$0	$34M
Muhammad Ijaz	NJ	Internal Medicine Physician	$852.8K	$0
Bart Muhs	CT	Vascular Surgery Physician	$572.7K	$0
Parveen Khanna	CT	Cardiovascular Disease Physician	$469.3K	$0
Jody Gerard	CT	Family Medicine Physician	$378.2K	$0
Hazar Dahhan	CT	Cardiovascular Disease Physician	$318.1K	$0
Kostas Papamarkakis	MA	Nephrology Physician	$281.2K	$3.5K
William Gray	CT	Internal Medicine Physician	$275.5K	$0
Amirhossein Zangiabadi	CA	Neurology Physician	$274.7K	$0
Mansoor Zaidi	MA	Internal Medicine Physician	$147.4K	$114.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The William W Backus Hospital	CT	General Acute Care Hospital	$0	$163M
United Community And Family Services, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$63.8M
United Community And Family Services, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$24.8M
American Ambulance Service, Inc.	CT	Land Ambulance	$2.2M	$12.4M
United Community And Family Services, Inc	CT	Federally Qualified Health Center (FQHC)	$0	$7.7M
City Of Norwich Board Of Education	CT	Local Education Agency (LEA)	$0	$6.7M
Norwich Pediatric Group, P.C.	CT	Pediatrics Physician	$0	$3.4M
Norwich Ophthalmology Group, P.C.	CT	Ophthalmology Physician	$0	$2.9M
Hi Dental Care LLC	CT	Dental Clinic/Center	$0	$2.7M
Ob-gyn Services, P.C.	CT	Obstetrics & Gynecology Physician	$0	$2.3M

Joan Sommers — Billing Profile & Reimbursement Data

Sign up for Joan Sommers — Billing Profile & Reimbursement Data policy alerts

Joan Sommers — Billing Profile & Reimbursement Data

Sign up for Joan Sommers — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References