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

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

Karen Wells (NPI 1972523553)

Field	Value
Entity Type	Individual
Organization	Karen Wells
Address	3424 West Kennedy Blvd.
City	Tampa
State	FL
ZIP	33609
Taxonomy	Plastic Surgery Physician
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicare	$8.2K
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
19328	This procedure is for the removal of a previously placed breast implant.	10	$270	$3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	40	$70	$2.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	20	$120	$2.3K

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. Florida Distribution

Karen Wells — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	20,395	30,010	80	$60	$12K
99204	14,566	19,040	40	$110	$7K
19328	1	10	10	$270	$3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olson Healthcare, LLC	FL	Home Health Agency	$0	$39M
Pediatric Epilepsy And Neurology Specialists	FL	Specialist	$0	$15.4M
Columbus Medical Services, LLC	FL	Developmental Disabilities Clinic/Center	$0	$12.2M
Selwyn St Louis Inc	FL	Home Health Agency	$0	$7.2M
Marc Peden	FL	Ophthalmology Physician	$2.5M	$0
Ivan Suner	FL	Ophthalmology Physician	$2.4M	$0
Alexander Engelman	FL	Radiation Oncology Physician	$1.7M	$0
Jeetpaul Saran	FL	Internal Medicine Physician	$880.8K	$0
Blackstone Medical Services LLC	FL	Sleep Disorder Diagnostic Clinic/Center	$110.1K	$623.9K
Geoffrey Kwitko	FL	Ophthalmology Physician	$568.9K	$0

Karen Wells — Billing Profile & Reimbursement Data

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Karen Wells — 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