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    OpenPayerNPI Medicare & MedicaidSheila Maier
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    Sheila Maier — Billing Profile & Reimbursement Data

    NPI 1033599162 · Denver, CO · Endocrinology, Diabetes & Metabolism Physician

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    Sheila Maier is a endocrinology, diabetes & metabolism physician provider located in Denver, Colorado. This profile covers 10 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
    OrganizationSheila Maier
    Address1601 E 19th Ave Ste 5500
    CityDenver
    StateCO
    ZIP80218
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJune 3, 2015

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

    Payer SourceTotal Paid
    Medicare$137.5K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established 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…740$100$72.8K
    J0897Injection, denosumab, 1 mg1,860$20$33.5K
    99204The 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…140$120$16.7K
    99213The 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…100$70$6.7K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…160$30$4.5K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…120$10$1.2K
    99451A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…20$30$620
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…160$1$470
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…30$10$340
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.20$20$340

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0897721402,580$20$68.8K
    992144478,16080$80$11.3K
    992135,6187,20070$60$6.6K
    992042573,67030$110$4.7K
    9945193020$30$3.7K
    95251278080$30$2.5K
    8303630165030$10$1.7K
    9637237750040$10$810
    9921125518030$20$800
    82962374040$1$190

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Affiliates Of Cape Cod, Inc.MAInternal Medicine Physician$0$5.9M
    Emily TierneyMAMOHS-Micrographic Surgery Physician$2.1M$0
    Thomas MillerMAFamily Medicine Physician$364.5K$448.2K
    Benjamin LevinMAInternal Medicine Physician$683.3K$0
    Mark WolfeMACardiovascular Disease Physician$515.7K$0
    Michael LevangieMACardiovascular Disease Physician$434.6K$0
    Eric FortierMAMedical Physician Assistant$412.6K$0
    John HostetterMACardiovascular Disease Physician$397.1K$0
    Ramon EspinosaMAInternal Medicine Physician$368.2K$0
    Paul DimondMAOrthopaedic Surgery Physician$346.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Healthone LLCCOGeneral Acute Care Hospital$0$13.3M
    Saint Joseph Hospital, IncCOGeneral Acute Care Hospital$0$12M
    P2p Recovery ResourcesCOSubstance Use Disorder Rehabilitation Clinic/Center$0$8.6M
    Obstetrix Medical Group Of Colorado P CCONeonatal-Perinatal Medicine Physician$0$7.8M
    Eric S Yaeger Md PCCOHospitalist Physician$0$3.7M
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Ioana HinshawCOHematology & Oncology Physician$2.7M$0
    Sj East Campus Asc, LLCCOAmbulatory Surgical Clinic/Center$1.1M$0
    Michele BascheCOHematology & Oncology Physician$854K$0
    Allen CohnCOHematology & Oncology Physician$610.9K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Sheila Maier — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado