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

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

Emily Wolfe (NPI 1851541239)

Field	Value
Entity Type	Individual
Organization	Emily Wolfe
Address	640 Jackson St - Mc 11108b
City	Saint Paul
State	MN
ZIP	55101
Taxonomy	Nurse Practitioner
NPI Enumerated	September 23, 2008

Payer Source	Total Paid
Medicare	$21.6K
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
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	130	$80	$10K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$110	$6.2K
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…	40	$50	$1.9K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	30	$50	$1.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	30	$50	$1.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$30	$480

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. Minnesota Distribution

Emily Wolfe — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	588	2,570	60	$90	$8.4K
99232	2,450	3,640	60	$60	$5.2K
99223	434	2,360	30	$130	$5K
99497	83	180	30	$50	$2.4K
99231	977	1,080	30	$40	$1.6K
99498	8	20	30	$50	$1.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ramsey County Community Human Services	MN	Public Health or Welfare Agency	$0	$97.5M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
South Metro Human Services- Tcm	MN	Case Management Agency	$0	$21.3M
Regions Hospital	MN	Emergency Medicine Physician	$0	$15.1M
South Metro Human Services-act Purple	MN	Case Management Agency	$0	$10.9M
South Metro Human Services-act Blue	MN	Case Management Agency	$0	$9.9M
Specialized Treatment Services, Inc.	MN	Methadone Clinic	$444.6K	$6.4M
Gillette Children's Specialty Healthcare	MN	Multi-Specialty Clinic/Center	$0	$5.4M
Prasongchai Sattayaprasert	MN	Cardiovascular Disease Physician	$238.9K	$1.1K
Wilfrido Castaneda	MN	Diagnostic Radiology Physician	$151.2K	$0

Emily Wolfe — Billing Profile & Reimbursement Data

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Emily Wolfe — 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