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    OpenPayerNPI Medicare & MedicaidMarc Sinclair
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    Marc Sinclair — Billing Profile & Reimbursement Data

    NPI 1184809675 · Bradford, VT · Chiropractor

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    Marc Sinclair is a chiropractor provider located in Bradford, Vermont. This profile covers 2 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMarc Sinclair
    Address183 North Main St.
    CityBradford
    StateVT
    ZIP05033
    TaxonomyChiropractor
    NPI EnumeratedJanuary 3, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$24.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    98941The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.950$30$23.6K
    98940The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.40$20$740

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    989419100370$30$12.2K
    989402530100$20$2.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sinclair Chiropractic Clinic PCVTChiropractor$0$96.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oas, LLCVTChildren's Substance Abuse Rehabilitation Facility$0$30.6M
    Little Rivers Health Care, Inc.VTFederally Qualified Health Center (FQHC)$0$12.1M
    Upper Valley Pediatrics, PLLCVTPediatric Adolescent Medicine Physician$0$1.8M
    Heidi NostrantVTClinical Psychologist$0$215.1K
    Robert MunsonVTGeneral Practice Dentistry$0$189.9K
    Little Rivers Health Care, Inc.VTPrimary Care Clinic/Center$0$114.7K
    Barry WatersonVTClinical Psychologist$71.3K$0
    Kph Healthcare Services, Inc.VTCommunity/Retail Pharmacy$68.1K$0
    Visionary Eye Associates LLCVTOptometrist$0$61.7K
    Martins Foods Of South Burlington LLCVTCommunity/Retail Pharmacy$56.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Vermont Distribution
    Marc Sinclair — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont