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

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

Christopher Sinesi (NPI 1235191677)

Field	Value
Entity Type	Individual
Organization	Christopher Sinesi
Address	6477 College Park Sq
City	Virginia Beach
State	VA
ZIP	23464
Taxonomy	Radiation Oncology Physician
NPI Enumerated	April 3, 2006

Payer Source	Total Paid
Medicare	$3.8M
Medicaid	$0

Key Findings

The provider’s Medicare billing profile is heavily weighted toward proton beam therapy: 77522 accounts for $1.9M revenue from 2.9K claims (51.7% of Medicare revenue), 77525 produced $890.6K from 1.1K claims (23.7%), and 77523 also appears in the mix with $210.1K from 298 claims. These three procedure codes together drive the operation’s clinical footprint and reflect an emphasis on proton-based external beam radiation services rather than only conventional photon techniques.

Revenue concentration is pronounced: the precomputed top-3 Medicare codes account for 81.6% of this provider’s total Medicare revenue, signaling that a small set of specialized procedures underpins most billing. That concentration suggests the practice’s financial performance is tightly coupled to continued referral and utilization of those specific proton therapy services.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $3.8M while there is no Medicaid billing on file. The absence of Medicaid business means the provider has little state-payer diversification and is likely more sensitive to Medicare reimbursement policy and referral patterns.

Competitive standing on key codes is mixed. 77522 ranks #1 of 4 providers nationally (100th percentile) and is described in the data as a typical, unremarkable volume for that code, while 77525 ranks #4 of 27 providers nationally (88th percentile), indicating a top-tier position among a small national set of proton providers; G6002 (stereoscopic x‑ray guidance) is notable as it ranks #3 of 2280 providers nationally (100th percentile) and is labeled an extreme outlier, far above typical national volume, which highlights an unusually high intensity of image guidance services relative to peers.

The practice shows unusually high utilization of image‑guidance and physics support codes beyond the proton technical components. G6002 has 4.1K claims and $238.2K revenue and is marked an extreme outlier; 77427 ($136.5K from 916 claims), 77334 ($65.1K from 664 claims), and 77336 ($59K from 881 claims) are also characterized as extreme outliers or far above typical national volume, indicating a sustained, high-volume workflow for planning, imaging, and physics QA services.

Code mix indicates a full-service radiation oncology program with advanced planning and delivery capabilities in addition to proton therapy. IMRT planning (77301, $61.9K from 43 claims), simulation (77280, $36.9K from 175 claims), and treatment planning/dosimetry (77300, $19.6K from 376 claims) are all present, supporting that the provider offers both complex planning and delivery services alongside its proton treatments.

Tenure and registry data show an established practice: the NPI was enumerated on 2006-04-03 (~20 years ago), indicating long-standing enrollment that could reflect sustained referral relationships and operational stability in the regional market. That duration combined with specialized service lines strengthens credibility for contracting discussions focused on proton services.

Concentration in a few specialized CPTs presents both strategic advantage and operational risk. The provider’s heavy reliance on proton-related codes (77522, 77525, 77523) and the lack of Medicaid revenue create upside if demand and reimbursement for those services remain stable, but they also leave the practice exposed to reimbursement shifts or referral changes that affect those specific high-value codes.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77522	This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is simple,…	2,860	$680	$1.9M
77525	This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is complex,…	1,140	$780	$890.6K
G6002	Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	4,110	$60	$238.2K
77523	This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…	300	$710	$210.1K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	920	$150	$136.5K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	660	$100	$65.1K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	40	$1,440	$61.9K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	880	$70	$59K
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	180	$210	$36.9K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	80	$350	$26.5K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Christopher Sinesi — 7 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77522	1	10	2,070	$680	$1.1M
77525	2	10	1,140	$790	$707.9K
77523	1	10	270	$700	$186.8K
77427	1	90	260	$150	$41.1K
77301	57	80	50	$620	$35.3K
77336	1	20	310	$70	$23.2K
77334	3	90	200	$60	$14.7K
77280	6	80	50	$140	$13.8K
77263	5	90	90	$130	$13K
G6002	1	70	180	$40	$12.8K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allan Thornton	VA	Radiation Oncology Physician	$3.3M	$0
Andrew Chang	CA	Radiation Oncology Physician	$481.3K	$0
Mathew Sinesi	VA	Radiation Oncology Physician	$342.7K	$0
Tyvin Rich	VA	Radiation Oncology Physician	$158K	$0
Adedamola Omogbehin	DC	Radiation Oncology Physician	$124.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ivyrehab Sept, LLC	VA	Physical Therapist	$0	$22.5M
Reyna Home Care	VA	Developmentally Disabled Services Day Training Agency	$0	$12.7M
Ict Services, Inc.	VA	Clinical Social Worker	$0	$9.4M
Brown Stone Family Services, LLC	VA	Mental Health Counselor	$0	$7.6M
Timothy Jackson	VA	Physician Assistant	$475K	$0
Arnold Oppenheim	VA	Dermatology Physician	$265.2K	$0
Amanda Dowdy	VA	Physical Therapist	$248.6K	$0
Partha Manchikalapudi	VA	Interventional Cardiology Physician	$242.1K	$0
Kimberly Silver	VA	Physician Assistant	$219.8K	$0
Ravinder Mohan	VA	Family Medicine Physician	$99.7K	$0

Christopher Sinesi — Billing Profile & Reimbursement Data

Sign up for Christopher Sinesi — Billing Profile & Reimbursement Data policy alerts

Christopher Sinesi — Billing Profile & Reimbursement Data

Sign up for Christopher Sinesi — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References