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

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

Sheila Caldwell (NPI 1891880712)

Field	Value
Entity Type	Individual
Organization	Sheila Caldwell
Address	18610 Fenkell St
City	Detroit
State	MI
ZIP	48223
Taxonomy	Doula
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicare	$103.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,790	$50	$89.5K
G0471	Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)	830	$10	$8.3K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	110	$50	$5.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Sheila Caldwell — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	25	850	140	$50	$17.3K
G0471	3	10	850	$10	$7.1K
99304	11	110	30	$60	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philip Lieu	TX	Ophthalmology Physician	$1.1M	$0
Liaqat Ali	MI	Dermatopathology Physician	$728K	$0
Hugh Mcswain	CA	Neuroradiology Physician	$235.3K	$292.6K
Brett Malbin	MI	Ophthalmology Physician	$477.6K	$0
Viktor Goncharuk	NC	Anatomic Pathology Physician	$415.6K	$0
Xihui Lin	MI	Ophthalmology Physician	$376.6K	$0
Leonard Kerwin	MI	Dermatology Physician	$355.8K	$0
Michael Bischoff	MI	Diagnostic Radiology Physician	$352.1K	$0
Darius Mehregan	MI	Dermatopathology Physician	$351.7K	$0
Sohail Hassan	MI	Cardiovascular Disease Physician	$342.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Horizon	MI	Home Health Agency	$0	$16M

Sheila Caldwell — Billing Profile & Reimbursement Data

Sign up for Sheila Caldwell — Billing Profile & Reimbursement Data policy alerts

Sheila Caldwell — Billing Profile & Reimbursement Data

Sign up for Sheila Caldwell — 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