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

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

Sarah Wetmore (NPI 1962754267)

Field	Value
Entity Type	Individual
Organization	Sarah Wetmore
Address	5965 S 900 E
City	Salt Lake City
State	UT
ZIP	84121
Taxonomy	Clinical Social Worker
NPI Enumerated	October 10, 2012

Payer Source	Total Paid
Medicare	$6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	110	$30	$3.3K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	100	$10	$1.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$90	$1.1K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	10	$50	$550

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Sarah Wetmore — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90791	61	70	20	$100	$3.3K
96158	3	10	60	$30	$2.7K
96156	8	10	20	$50	$950
96159	2	10	80	$10	$830

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Pediatric Acuity Care	UT	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$7.3M
University Of Utah Pediatric Acuity Care	UT	Neonatal-Perinatal Medicine Physician	$0	$3.3M
University Of Utah Pediatric Acuity Care	UT	Pediatric Critical Care Medicine Physician	$0	$1.5M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$1.3M
University Of Utah Acuity Care Services	UT	Critical Care Medicine (Internal Medicine) Physician	$0	$1M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$428.2K
Sikandar Ansari	WI	Pulmonary Disease Physician	$106.6K	$0
Mark Kryskow	UT	Surgical Critical Care Physician	$77.5K	$0
Ramesh Grandhi	UT	Neurological Surgery Physician	$74.6K	$0
Chakravarthy Reddy	UT	Pulmonary Disease Physician	$72.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Evolve Emod LLC	UT	Home Modifications Contractor	$0	$23.9M
Mountain Land Rehabilitation LLC	UT	Physical Therapist	$0	$4M
Rosewood Assisted Care Inc	UT	Assisted Living Facility	$0	$3.2M
Bristol Hospice - Utah Ii, L.L.C.	UT	Community Based Hospice Care Agency	$0	$2.6M
Journey Treatment Center	UT	Substance Abuse Rehabilitation Facility	$0	$1.9M
Douglas Toole	UT	Foot & Ankle Surgery Podiatrist	$1.6M	$0
Big Smiles Utah P.C.	UT	Dentist	$0	$1.3M
J Q Medical Supply, LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Transport Connection, Inc	UT	Private Vehicle	$0	$806.7K
Innovation Medical Group PC	UT	Podiatrist	$0	$741.2K

Sarah Wetmore — Billing Profile & Reimbursement Data

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Sarah Wetmore — 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