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

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

Sagamore Surgical Services, Inc. (NPI 1003816307)

Field	Value
Entity Type	Organization
Organization	Sagamore Surgical Services, Inc.
Address	2320 Concord Rd
City	Lafayette
State	IN
ZIP	47909
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 28, 2005

Payer Source	Total Paid
Medicare	$7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	20	$390	$7.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Sagamore Surgical Services, Inc. — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69436	8	10	20	$280	$6.8K

Nearby Providers

Other providers in the same ZIP code as Sagamore Surgical Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-land Meals, Inc.	IN	Registered Dietitian	$0	$4.6M
Wee Speak PC	IN	Speech-Language Pathologist	$0	$3.4M
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$3.1M
John Thomas	IN	Internal Medicine Physician	$174.8K	$0
Neil Mascarenhas	IN	Vascular & Interventional Radiology Physician	$109.2K	$0
Clement Mcdonald	IN	Otolaryngology Physician	$65.5K	$0
Shadi Resheidat	IN	Family Medicine Physician	$47.6K	$0
Kelly Todd	IN	Audiologist	$20K	$0

Sagamore Surgical Services, Inc. — Billing Profile & Reimbursement Data

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Sagamore Surgical Services, Inc. — 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