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

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

Eric Sprague (NPI 1114285095)

Field	Value
Entity Type	Individual
Organization	Eric Sprague
Address	1600 S 48th St
City	Lincoln
State	NE
ZIP	68506
Taxonomy	Surgical Physician Assistant
NPI Enumerated	April 27, 2012

Payer Source	Total Paid
Medicare	$10.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33533	Coronary artery bypass, using arterial graft(s); single arterial graft	50	$170	$8.3K
33519	The provider diverts blood flow from damaged vessels in the heart by grafting three vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery…	20	$50	$770
33518	The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…	20	$40	$590
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$30	$450
33517	The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…	10	$20	$200
33508	The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.	50	$1	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Eric Sprague — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33533	4	30	30	$710	$22.8K
33519	3	10	10	$250	$4K
33518	9	10	20	$190	$3.5K
99231	498	520	40	$30	$2K
33517	8	10	10	$100	$1.2K
33508	4	20	30	$10	$220

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Cardiology Group LLC	NE	Cardiovascular Disease Physician	$0	$2.7M
Walid Kutayli	NE	Clinical Cardiac Electrophysiology Physician	$454.9K	$0
Robert Percell	NE	Clinical Cardiac Electrophysiology Physician	$431.8K	$0
Matthew Kapalis	NE	Clinical Cardiac Electrophysiology Physician	$367.9K	$0
Clayton Friesen	NE	Cardiovascular Disease Physician	$305.7K	$0
Keith Miller	NE	Cardiovascular Disease Physician	$297.4K	$0
Joseph Kummer	NE	Cardiovascular Disease Physician	$286.5K	$0
John Steuter	NE	Cardiovascular Disease Physician	$277.7K	$0
Anuj Jain	NE	Cardiovascular Disease Physician	$268.7K	$0
Christopher Balwanz	NE	Cardiovascular Disease Physician	$260.9K	$0

Eric Sprague — 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

Frequently Asked Questions

References