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

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

Rachel Sullivan (NPI 1932706611)

Field	Value
Entity Type	Individual
Organization	Rachel Sullivan
Address	4602 Eastpark Blvd
City	Madison
State	WI
ZIP	53718
Taxonomy	Family Nurse Practitioner
NPI Enumerated	October 5, 2020

Payer Source	Total Paid
Medicare	$110.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	680	$70	$45.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	300	$100	$29.1K
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…	340	$50	$15.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	250	$20	$6K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	110	$50	$5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	40	$70	$3K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	70	$40	$2.5K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	90	$30	$2.5K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	30	$30	$990

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Rachel Sullivan — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	32	400	120	$70	$15.8K
99310	26	210	80	$100	$15.4K
99349	136	190	80	$80	$15.2K
99490	66	100	110	$40	$8.5K
99308	30	290	60	$50	$7.7K
99348	46	160	50	$40	$4K
99347	15	50	40	$30	$3.9K
99439	50	60	70	$30	$3.5K
99307	8	90	40	$30	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oak Medical Sc	WI	Internal Medicine Physician	$0	$4M
Ana Perelman	WI	Internal Medicine Physician	$368.6K	$0
Ryan Holzmacher	WI	Internal Medicine Physician	$293.1K	$0
Sarfraz Sidhu	WI	Internal Medicine Physician	$232.6K	$0
Sara Stein	WI	Nurse Practitioner	$180.9K	$0
Michael Sullivan	WI	Family Medicine Physician	$166.7K	$0
Dina Sotola	WI	Family Nurse Practitioner	$164.6K	$0
Ralph Laraiso	WA	Physical Medicine & Rehabilitation Physician	$155.4K	$0
Jasdeep Sidhu	WI	Cardiovascular Disease Physician	$144.7K	$0
Courtney Lamm	WI	Primary Care Nurse Practitioner	$144K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$211.3K	$10.9M
Fresenius Kidney Care Madison, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Evan Warner	WI	Ophthalmology Physician	$279.5K	$0
Brian Nickel	WI	Orthopaedic Surgery Physician	$233.8K	$0
David Hennessy	WI	Orthopaedic Surgery Physician	$220.1K	$0
Gregory Cooley	WI	Radiation Oncology Physician	$194.9K	$0
Brian Grogan	WI	Sports Medicine (Orthopaedic Surgery) Physician	$150.5K	$0
Fresenius Access Care Physicians Of Madison Asc LLC	WI	Ambulatory Surgical Clinic/Center	$115.6K	$0
John Frangiskakis	WI	Cardiovascular Disease Physician	$114.9K	$0
Nimira Jina	WI	Geriatric Medicine (Internal Medicine) Physician	$83.6K	$0

Rachel Sullivan — Billing Profile & Reimbursement Data

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Rachel Sullivan — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References