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

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

Lindsay Sanchez (NPI 1174272561)

Field	Value
Entity Type	Individual
Organization	Lindsay Sanchez
Address	16-590 Old Volcano Rd Ste Bc
City	Keaau
State	HI
ZIP	96749
Taxonomy	Primary Care Nurse Practitioner
NPI Enumerated	March 22, 2022

Payer Source	Total Paid
Medicare	$12K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	70	$120	$8.3K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	20	$140	$2.9K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	10	$60	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Lindsay Sanchez — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	11	20	60	$110	$11.2K
99345	3	10	20	$130	$5.8K
99497	106	130	40	$60	$4.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Hawaii Community Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$1.6M
Big Island Behavior Interventions	HI	Behavior Analyst	$0	$927.5K
Kau Hospital	HI	Rural Health Clinic/Center	$0	$573.1K
Longs Drug Stores California LLC	HI	Community/Retail Pharmacy	$208.4K	$122.6K
Jean Wavrin	HI	Marriage & Family Therapist	$0	$263.1K
Keith Whitaker	HI	Marriage & Family Therapist	$0	$245.5K
Presence Of Mind Inc	HI	Mental Health Counselor	$0	$176.9K
Independent Living Of Hawaii, Inc	HI	In Home Supportive Care Agency	$0	$172.4K
Jennifer Grune Dnp Fnp-bc	HI	Primary Care Clinic/Center	$0	$142.6K

Lindsay Sanchez — Billing Profile & Reimbursement Data

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Lindsay Sanchez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References