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

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

Spencer Sands (NPI 1235353616)

Field	Value
Entity Type	Individual
Organization	Spencer Sands
Address	2016 S Main St
City	Maryville
State	MO
ZIP	64468
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 13, 2007

Payer Source	Total Paid
Medicare	$3.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93503	The provider performs Swan–Ganz® catheterization for the direct assessment of pressure in the pulmonary artery, right atrium, right ventricle, as well as the wedge pressure of the left atrium…	20	$70	$1.3K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	30	$40	$1.2K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	10	$70	$950
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	30	$10	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Spencer Sands — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93503	9	40	20	$70	$1.3K
36556	132	200	20	$60	$1.2K
36620	73	340	20	$30	$860
76937	118	220	30	$10	$460

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0
Blake Peterson	VA	Orthopaedic Surgery Physician	$412K	$0
Rony Abou-jawde	MO	Medical Oncology Physician	$303K	$0
Mohan Hindupur	MO	Cardiovascular Disease Physician	$225.1K	$0
Sherry Zhou	MO	Endocrinology, Diabetes & Metabolism Physician	$187.6K	$0
Robert Grant	MO	Interventional Cardiology Physician	$183.9K	$0
Arvind Sharma	MO	Cardiovascular Disease Physician	$176K	$0
Ricardo Ramos	MO	Cardiovascular Disease Physician	$165.4K	$0
Mohannad Abu Omar	MO	Pulmonary Disease Physician	$163.3K	$0
German Kamalov	MO	Cardiovascular Disease Physician	$157.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nodaway County Services For The Developmentally Disabled, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.9M
Nodaway County Services For The Developmentally Disabled, Inc.	MO	Case Management Agency	$0	$5.6M
Nodaway County Ambulance District	MO	Ambulance	$566.4K	$488.6K
Charles Fillingane	MO	Family Medicine Physician	$117.3K	$123.9K
Leslie Wittmann	MO	Optometrist	$54.3K	$32.3K
Dallas Mullock	MO	Family Medicine Physician	$56.8K	$0
Dallas Fitzgerald	MO	Optometrist	$21.2K	$0
Kyle Thomas	MO	Family Nurse Practitioner	$21.1K	$0

Spencer Sands — Billing Profile & Reimbursement Data

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Spencer Sands — 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