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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicholas Sipes
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    Nicholas Sipes — Billing Profile & Reimbursement Data

    NPI 1013323039 · Du Bois, PA · Physician Assistant

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    Nicholas Sipes is a physician assistant provider located in Du Bois, Pennsylvania. This profile covers 7 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicholas Sipes
    Address100 Hospital Ave
    CityDu Bois
    StatePA
    ZIP15801
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 10, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$13K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…70$60$4.3K
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.60$70$4.2K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…60$40$2.4K
    62328The provider obtains a sample of cerebrospinal fluid (CSF) under fluoroscopic or CT imaging guidance and sends the specimen to the laboratory for examination. The provider commonly performs this…10$60$700
    38505The provider excises or biopsies lymph nodes lying near the surface of the body using a needle. The provider commonly performs this procedure to identify and diagnose the cause of disease in the…10$60$670
    10006The provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and syringe. Report this code…10$30$450
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…10$20$240

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    490835122040$80$3.9K
    325554123030$80$3.2K
    10005716020$60$1.5K
    62328293020$60$1.1K
    7694248254020$30$1K
    3850582010$60$820
    1000682010$40$700

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Dubois Regional Medical CenterPAGeneral Acute Care Hospital$0$18.7M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Brandon RoscoePAFamily Medicine Physician$690.1K$546.1K
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Assen TodorovMDDiagnostic Radiology Physician$607.9K$0
    Allen SamuelsPARheumatology Physician$594.5K$820
    Richard BlackburnMORadiation Oncology Physician$591.1K$0
    Ryan Jean-baptisteCADiagnostic Radiology Physician$517K$47K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peritech Home Health Associates LLCPAHome Health Agency$0$31.5M
    Interim Healthcare Of Western Pennsylvania IncPAHome Health Agency$0$21.2M
    Brookville Behavioral Health Inc.PACommunity/Behavioral Health Agency$0$16.7M
    County Homemakers IncPAIn Home Supportive Care Agency$0$8.6M
    Behavioral Advancements Of DuboisPAPsychologist$0$6.8M
    Gregory RoscoePAOtolaryngology Physician$188.7K$700.7K
    Lisa PfingstlerPADermatology Physician$581.7K$257.3K
    Tuesdae StainbrookPAInfectious Disease Physician$373.4K$229.2K
    Jeffrey RicePAOral and Maxillofacial Surgery (Dentist)$7.3K$533.2K
    Jayaseelan AmbrosePAInterventional Cardiology Physician$342.7K$171.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Nicholas Sipes — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania