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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Nayo Wills (NPI 1912096587)

Field	Value
Entity Type	Individual
Organization	Nayo Wills
Address	1263 Evarts St Ne
City	Washington
State	DC
ZIP	20018
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicare	$304K
Medicaid	$0

Key Findings

This provider has a Medicare-centered billing profile with $304K in total Medicare revenue and no Medicaid billing on file, effectively making the practice single-payer (Medicare) in the available dataset. The absence of Medicaid activity indicates the provider either does not participate in Medicaid or has not billed Medicaid within the data window, so analyses should treat this entity as operating predominately in the Medicare population.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes account for 88.3% of the provider's total Medicare revenue. The dominant code is 99215, which alone represents 59.1% of Medicare revenue, followed by 95816 (20.2%) and 99205 (9.0%), signaling that a very small number of service lines drive almost all billed Medicare dollars.

The code mix points to a clinical operation focused on high‑complexity outpatient evaluation and management plus significant diagnostic and neuropsychologic testing. High-volume billing for 99215 and 99205 (complex E/M for established and new patients) together with substantial claims for 95816 (EEG) and neuropsych testing codes (96132, 96138) suggests the provider delivers intensive office-based evaluation and management augmented by cognitive/neurologic diagnostic services.

On competitive standing, this provider is an extreme outlier nationally for several office/outpatient E/M codes: 99215 ranks #117 of 145531 providers (100th percentile) and 99205 ranks #838 of 66257 providers (99th percentile), indicating unusually high national volume for these service lines. G2212 prolonged E/M also ranks at the 99th percentile (#94 of 6857), reinforcing that this practice reports prolonged, time‑intensive outpatient visits at rates far above typical peers.

Some diagnostic and testing codes show strong but more typical volumes: 95816 (EEG) is at the 95th percentile (#206 of 3834 providers) and 96132 (neuropsych testing, up to one hour) is at the 86th percentile (#425 of 3173), which indicate meaningful, above‑average provision of these services without the same degree of extremeness seen for the high‑level E/M codes. Lower‑revenue items such as 96138 and 99211 are in typical national ranges (92nd and 77th percentiles respectively), implying ancillary support testing and brief visits are present but not primary revenue drivers.

The provider has a long tenure in the NPI registry, enumerated approximately 20 years ago (2006-10-12), which may reflect an established practice and could help explain the accumulation of unusually high volumes for certain E/M and prolonged service codes over time. Tenure combined with concentrated service lines suggests a stable, specialized outpatient practice pattern rather than a newly formed operation.

Given the concentration of revenue in complex E/M (99215, 99205) and prolonged services (G2212), the business implications are of a practice structured around high‑acuity outpatient visits and time‑intensive encounters; payers and network analysts should consider that utilization management, visit-duration documentation, and medical necessity for prolonged E/M may be the highest-impact levers for cost or utilization review.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,270	$140	$179.9K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	180	$340	$61.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	160	$170	$27.3K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	580	$30	$15.1K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	130	$110	$13.6K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	180	$30	$5.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	80	$20	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Nayo Wills — 5 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	1	660	50	$130	$12.3K
95816	1	10	60	$150	$10.3K
96132	2	10	40	$110	$5.7K
99205	1	330	30	$170	$5.6K
G2212	3	50	50	$30	$2.7K
96138	1	10	40	$30	$2.3K
99211	9	30	40	$20	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carl Lord	MD	Obstetrics & Gynecology Physician	$438K	$0
Lauren Cano	MD	Family Nurse Practitioner	$25.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T & N Reliable Nursing Care,llc	DC	In Home Supportive Care Agency	$0	$103.2M
Immaculate Health Care Services,inc	DC	Respite Care	$0	$82.1M
Innovative Life Solutions, Inc.	DC	Developmental Disabilities Clinic/Center	$0	$73.3M
Nya Health Services Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.6M
Life Stride, Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.4M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$19.3M
Goshen Healthcare & Management Services	DC	Community/Behavioral Health Agency	$0	$18.1M
P&g Behavioral Health Services LLC	DC	Adult Mental Health Clinic/Center	$0	$14.1M
Psychiatric Center Chartered,inc	DC	Psychiatry Physician	$0	$11.4M
Metropolitan Educational Solutions, LLC	DC	Case Management Agency	$0	$8.3M

Nayo Wills — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References