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    OpenPayerNPI Medicare & MedicaidStephen Sanchez
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    Stephen Sanchez — Billing Profile & Reimbursement Data

    NPI 1205358223 · Fort Collins, CO · Physical Rehabilitation Occupational Therapist

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    Stephen Sanchez is a physical rehabilitation occupational therapist provider located in Fort Collins, Colorado. This profile covers 6 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Sanchez
    Address2500 E Prospect Rd
    CityFort Collins
    StateCO
    ZIP80525
    TaxonomyPhysical Rehabilitation Occupational Therapist
    NPI EnumeratedJuly 11, 2017

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

    Payer SourceTotal Paid
    Medicare$22.9K
    Medicaid$1.2K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…420$20$6.7K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…340$20$6.5K
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…70$80$5.3K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.100$30$2.6K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…80$20$1.7K
    97035Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.30$10$240

    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

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975301,1931,530260$30$10.1K
    971108301,840310$20$8.3K
    971121,4011,610240$20$7.7K
    971405741,770290$20$6.4K
    97165810030$80$2.7K
    97035839060$10$820

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…30$30$890
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.20$10$250
    97010The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.40$1$70

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…393410910$30$71.3K
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.8490700$10$17.3K
    97010The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.5760570$1$4.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ocr Fort Collins Asc & Ccc, LLCCOAmbulatory Surgical Clinic/Center$1.4M$0
    Kirk KindsfaterCOAdult Reconstructive Orthopaedic Surgery Physician$731K$0
    Clifford ClarkCOAdult Reconstructive Orthopaedic Surgery Physician$510.1K$0
    Rocci TrumperCOSports Medicine (Orthopaedic Surgery) Physician$359.7K$0
    Riley HaleCOAdult Reconstructive Orthopaedic Surgery Physician$325K$0
    William BiggsCOOrthopaedic Surgery of the Spine Physician$289.6K$0
    Sean GreyCOAdult Reconstructive Orthopaedic Surgery Physician$274.3K$0
    Nikita VischerCOSports Medicine (Family Medicine) Physician$248K$0
    Robert BenzCOOrthopaedic Surgery of the Spine Physician$246.2K$0
    Brian LancasterCOSports Medicine (Family Medicine) Physician$213.4K$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. Colorado Distribution
    Stephen Sanchez — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado
    Medicaid Revenue by Year vs. Colorado Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Stephen Sanchez — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado