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

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

Sarah Plummer (NPI 1154694974)

Field	Value
Entity Type	Individual
Organization	Sarah Plummer
Address	2625 N Craycroft Rd Ste 200
City	Tucson
State	AZ
ZIP	85712
Taxonomy	Nurse Practitioner
NPI Enumerated	February 10, 2012

Payer Source	Total Paid
Medicare	$14.8K
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
46600	The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…	60	$60	$3.8K
99203	The provider sees a new 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 provider…	60	$60	$3.5K
91120	N/A	10	$300	$3.3K
99213	The 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…	50	$50	$2.3K
91122	N/A	10	$140	$1.5K
51784	This test measures the electrical activity in the anal or urethral sphincter muscles.	10	$30	$340

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. Arizona Distribution

Sarah Plummer — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	6,335	9,600	80	$60	$9.6K
91120	7	10	20	$360	$7.6K
91122	13	10	20	$190	$7K
46600	21	50	50	$80	$5.1K
99203	1,381	4,100	40	$70	$4K
51784	90	90	30	$20	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tmc Medical Network	AZ	Multi-Specialty Clinic/Center	$0	$20.3M
Charles Atkinson	AZ	Surgery Physician	$5.7M	$0
Laurie Chen	AZ	Hematology & Oncology Physician	$1.6M	$0
Basel Shoua	AZ	Hematology & Oncology Physician	$1.4M	$0
Suresh Mukkamala	AZ	Hematology & Oncology Physician	$1.2M	$0
Constantin Catalin Boiangiu	AZ	Cardiovascular Disease Physician	$1M	$0
Basel Skeif	AZ	Cardiovascular Disease Physician	$990.8K	$0
Aung Bajaj	AZ	Hematology & Oncology Physician	$974.9K	$0
Aisha Ahmed	AZ	Hematology & Oncology Physician	$842.8K	$0
Fadi Aldaas	IL	Critical Care Medicine (Internal Medicine) Physician	$525.7K	$302K

Sarah Plummer — 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