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    OpenPayerNPI Medicare & MedicaidJacques Sainvil
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    Jacques Sainvil — Billing Profile & Reimbursement Data

    NPI 1205485638 · Bronx, NY · Adult Health Nurse Practitioner

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    Jacques Sainvil is a adult health nurse practitioner provider located in Bronx, New York. This profile covers 5 Medicare and 6 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
    OrganizationJacques Sainvil
    Address2015 Grand Concourse
    CityBronx
    StateNY
    ZIP10453
    TaxonomyAdult Health Nurse Practitioner
    NPI EnumeratedSeptember 9, 2019

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

    Payer SourceTotal Paid
    Medicaid$260.8K
    Medicare$242.5K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…3,620$60$206.5K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…220$80$17.9K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.130$100$13.1K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…30$120$3.9K
    99452The provider, a treating or requesting physician or other qualified healthcare professional, spends 30 minutes providing healthcare information about a patient to a consultant via various electronic…50$30$1.2K

    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

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99308732,360250$60$44.9K
    993091,0712,150220$90$41.7K
    9931035858050$120$12.6K
    993166162040$110$6.1K
    9945231020$30$2.2K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…19,630$10$235.6K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…690$20$10.3K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.390$20$8.6K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…180$10$2.2K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…20$30$530
    99424A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which…40$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…172,090420$10$18.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…7071,840390$10$17.1K
    99424A physician or other qualified healthcare professional personally performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which…2120120$10$8.2K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…20024070$20$5.8K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…371870130$10$3.7K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.23030$10$890

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Essen Medical Urgicare, PLLCNYUrgent Care Clinic/Center$0$41.9M
    Essen Medical Associates, PCNYLegal Medicine$0$37.4M
    Daiya Healthcare PLLCWAInternal Medicine Physician$0$8.7M
    Ananth ShankarNYNuclear Cardiology Physician$358.3K$5.3M
    Iftikhar AhmadNYDiagnostic Radiology Physician$3.8M$650.3K
    Harmesh MittalNYCardiovascular Disease Physician$452.9K$2.2M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    John LeeNJInterventional Cardiology Physician$1.6M$0
    Vinod PatelNYInterventional Cardiology Physician$1.1M$349.6K
    Anthony AndrewsPAOphthalmology Physician$1.3M$100

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    T.c. Ny Homecare, LLCNYHome Health Agency$0$44M
    Morris Heights Health Center, Inc.NYFederally Qualified Health Center (FQHC)$0$38.7M
    Muhammad AhmadNYPulmonary Disease Physician$159.6K$1M
    Soodabeh ZolfaghariNYInternal Medicine Physician$874.2K$108.6K
    Huascar Perez TorresNYInternal Medicine Physician$348K$336K
    Emine CosarNYGeneral Practice Physician$424K$198.5K
    Timothy ChildsNYFamily Nurse Practitioner$384K$84.6K
    John FadelNYGynecology Physician$2.5K$452K
    Sandra Boateng-wilsonNYPsychiatric/Mental Health Nurse Practitioner$236.2K$86.6K
    Germaine MpoyiNYFamily Nurse Practitioner$163.8K$155.1K

    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. New York Distribution
    Jacques Sainvil — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Jacques Sainvil — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York