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

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

Sandra Crouse (NPI 1164631255)

Field	Value
Entity Type	Individual
Organization	Sandra Crouse
Address	1101 Sam Perry Blvd
City	Fredericksburg
State	VA
ZIP	22401
Taxonomy	Neurology Physician
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicare	$85.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	7,540	$10	$37.7K
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…	190	$100	$18.4K
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…	230	$60	$13.7K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	140	$40	$6K
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…	50	$120	$5.7K
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…	30	$80	$2.3K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	10	$150	$1.9K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	10	$60	$730
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	10	$40	$500

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Sandra Crouse — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	23	60	6,400	$1	$51.9K
95720	32	30	60	$170	$15.6K
99233	2,691	3,290	80	$90	$13.7K
95819	58	60	30	$220	$12.8K
99232	1,025	4,460	80	$60	$11K
95816	6	90	30	$170	$10.2K
99223	1,573	3,660	40	$130	$9.2K
99222	51	3,120	30	$100	$4.4K
95813	2	10	10	$60	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Mary Washington Healthcare Physicians	VA	Family Medicine Physician	$0	$13.3M
Manan Mehta	VA	Hematology & Oncology Physician	$1.5M	$0
Raushan Abdula	VA	Cardiovascular Disease Physician	$534.4K	$0
Charles Beamon	VA	Urology Physician	$467.5K	$0
Philip Brandt	VA	Hematology & Oncology Physician	$460.5K	$0
Rohit Goyal	VA	Critical Care Medicine (Internal Medicine) Physician	$440.9K	$0
Jeffrey Askew	VA	Cardiovascular Disease Physician	$439.3K	$0
Anna Czajka	VA	Cardiovascular Disease Physician	$402.8K	$0
Michael Porrazzo	FL	Radiation Oncology Physician	$396.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rappahannock Area Community Services Board	VA	Community/Behavioral Health Agency	$0	$142.5M
Mary Washington Hospital Inc.	VA	General Acute Care Hospital	$0	$80.1M
Paragon Autism Services, LLC	VA	Behavior Analyst	$0	$21.6M
Fredericksburg Emergency Medical Alliance, Inc.	VA	Emergency Medicine Physician	$0	$15M
Pedsplus Urgent Care, LLC	VA	Urgent Care Clinic/Center	$0	$11M
Preferred Pediatrics At Snowden	VA	Pediatrics Physician	$0	$6.4M
Sunny Home Care Inc.	VA	Home Health Agency	$0	$6.3M
Thomas Johnson	VA	Retina Specialist (Ophthalmology) Physician	$3.6M	$0
Central Virginia Surgi-center LP	VA	Ambulatory Surgical Clinic/Center	$3.2M	$318.9K
Eric Lee	VA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0

Sandra Crouse — 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