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

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

Erica Sinsheimer (NPI 1154369411)

Field	Value
Entity Type	Individual
Organization	Erica Sinsheimer
Address	9933 Lawler Ave
City	Skokie
State	IL
ZIP	60077
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicare	$119.7K
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
99214	The 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…	750	$100	$74.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$150	$13.2K
99443	N/A	120	$100	$11.5K
95250	In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…	70	$120	$8.5K
95251	A 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…	260	$30	$7.3K
83036	Sugar 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).…	230	$10	$2.3K
99204	The 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…	10	$130	$1.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	60	$20	$1K

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. Illinois Distribution

Erica Sinsheimer — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	711	18,540	110	$80	$17.1K
99215	1,620	6,240	40	$120	$10.1K
99204	7,884	8,580	30	$110	$5.6K
99443	45	940	20	$90	$3.3K
95251	21	270	90	$30	$2.9K
95250	1	40	20	$110	$2.7K
83036	163	1,510	50	$10	$2.3K
99211	159	640	30	$20	$990

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Judy Joseph	IL	Internal Medicine Physician	$385.2K	$581.4K
Mark Schacht	IL	Urology Physician	$238.5K	$30.1K
Harsh Gupta	IL	Gastroenterology Physician	$100.6K	$151.7K
Marc Breslow	IL	Sports Medicine (Orthopaedic Surgery) Physician	$210.3K	$1.6K
Alan League	IL	Orthopaedic Surgery Physician	$107.1K	$950
Marko Jachtorowycz	IL	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$26.2K	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifescan Labs Of Illinois, LLC	IL	Clinical Medical Laboratory	$5.6M	$58M
Des Plaines Clinical Lab Inc	IL	Clinical Medical Laboratory	$1.1M	$25.5M
Medical Express Ambulance Service, Inc	IL	Land Ambulance	$1.9M	$22.3M
Village Of Skokie	IL	Land Ambulance	$735.5K	$15.2M
Turning Point Behavioral Health Care Center	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.2M
Lava Supply, Inc.	IL	Durable Medical Equipment & Medical Supplies	$0	$9.4M
Behavioral Services Center	IL	Community/Behavioral Health Agency	$0	$7.7M
Endeavor Health Medical Group	IL	Clinical Medical Laboratory	$0	$7.7M
Duke Medical Supply Incorporated	IL	Customized Equipment (DME)	$0	$4.7M
American Diagnostic Laboratory Inc	IL	Clinical Medical Laboratory	$266.5K	$2.4M

Erica Sinsheimer — 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