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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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 Rains (NPI 1184205999)

Field	Value
Entity Type	Individual
Organization	Sarah Rains
Address	810 Sixth Ave
City	Sandpoint
State	ID
ZIP	83864
Taxonomy	Physician Assistant
NPI Enumerated	April 14, 2021

Payer Source	Total Paid
Medicare	$117.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	820	$80	$61.6K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	180	$190	$34.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	130	$60	$7.7K
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…	80	$90	$7.6K
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…	110	$60	$6.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Sarah Rains — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0482	4	10	130	$190	$24.1K
99214	30	2,690	90	$70	$10.4K
80307	13	20	150	$60	$9.4K
99213	931	2,770	70	$50	$5.7K
99204	151	1,180	30	$100	$4.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boundary Regional Community Health Center, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$7M
Boundary Regional Community Health Center Inc	ID	Federally Qualified Health Center (FQHC)	$0	$5.5M
Idaho Pain Clinic PLLC	ID	Pain Medicine (Anesthesiology) Physician	$0	$2.2M
Boundary Regional Community Health Center, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$1.3M
Daniel Blizzard	ID	Orthopaedic Surgery of the Spine Physician	$201.1K	$0
Jeffrey Ispirescu	ID	Pain Medicine (Anesthesiology) Physician	$197.5K	$0
Roland Kent	ID	Orthopaedic Surgery of the Spine Physician	$179.7K	$0
Clinton Thome	ID	Pain Medicine (Anesthesiology) Physician	$130.8K	$0
Sai Alla	ID	Anesthesiology Physician	$118.8K	$0
Leslie Rogers	ID	Family Nurse Practitioner	$117.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Panhandle Special Needs, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$4.6M
North Idaho Children's Mental Health, PLLC.	ID	Clinical Social Worker	$0	$2.2M
Bonner General Hospital Inc.	ID	Critical Access Hospital	$0	$1.6M
Journey Pediatric Therapy	ID	Rehabilitation Clinic/Center	$0	$1.2M
Bonner County Ems	ID	Ambulance	$440.9K	$721.9K
Lake Pend Oreille School District #84	ID	Local Education Agency (LEA)	$0	$1M
Panhandle Support Services, LLC	ID	Case Management Agency	$0	$945.5K
Advanced Care Northwest LLC	ID	Non-emergency Medical Transport (VAN)	$0	$739.5K
Family Center For Occupational Therapy	ID	Occupational Therapist	$0	$569.9K
Evergreen Idaho Healthcare Sandpoint, L.L.C.	ID	Assisted Living Facility	$0	$520.8K

Sarah Rains — Billing Profile & Reimbursement Data

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Sarah Rains — 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