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.

Douglas Sande (NPI 1033559380)

Field	Value
Entity Type	Individual
Organization	Douglas Sande
Address	6161 Blue Lagoon Dr
City	Miami
State	FL
ZIP	33126
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	July 1, 2013

Payer Source	Total Paid
Medicare	$132.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	800	$50	$42.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	310	$90	$26.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	200	$130	$25.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	340	$60	$19.4K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	280	$50	$14.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$1.9K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	50	$20	$1.1K
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…	10	$70	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Douglas Sande — 2 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	2,147	2,150	290	$80	$45K
99233	1,975	9,970	100	$90	$20.1K
99232	3,037	13,090	120	$60	$17.5K
99223	1,285	11,110	60	$130	$12.5K
99497	16	2,370	50	$70	$6.7K
99222	6,388	8,970	30	$100	$6K
99498	3	70	30	$50	$3.6K
G0316	63	160	40	$20	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yanelexy Hernandez	FL	Family Nurse Practitioner	$99.1K	$0
Yoshira Paban	FL	Family Nurse Practitioner	$95.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epicmd Technologies LLC	FL	Transportation Broker	$0	$55M
Home Care Plus Inc.	FL	Home Health Agency	$0	$37M
Dd Health Home Care Inc	FL	Home Health Agency	$0	$18.2M
Professional Solutions Home Health Agency Inc	FL	Home Health Agency	$0	$17.8M
Health Med Home Care LLC	FL	Home Health Agency	$0	$16.8M
Florida Behavioral Center, Inc	FL	Community/Behavioral Health Agency	$0	$16M
Odyssey Healthcare Of Marion County, LLC	FL	Community Based Hospice Care Agency	$0	$15.8M
Us Med, LLC	FL	Community/Retail Pharmacy	$0	$12.9M
Lifetime Solutions Agency, LLC	FL	Community/Behavioral Health Agency	$0	$10.8M
Residential Plaza At Blue Lagoon	FL	Assisted Living Facility	$0	$9.8M

Douglas Sande — Billing Profile & Reimbursement Data

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Douglas Sande — 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