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    OpenPayerNPI Medicare & MedicaidJoshua Sparling
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    Joshua Sparling — Billing Profile & Reimbursement Data

    NPI 1245216316 · Augusta, ME · Dermatology Physician

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    Joshua Sparling is a dermatology physician provider located in Augusta, Maine. This profile covers 11 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
    OrganizationJoshua Sparling
    Address6 E Chestnut St
    CityAugusta
    StateME
    ZIP04330
    TaxonomyDermatology Physician
    NPI EnumeratedDecember 20, 2005

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

    Payer SourceTotal Paid
    Medicare$53.9K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…360$60$22K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…240$40$10K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.250$30$7.4K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…150$50$6.9K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.110$20$2.2K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.30$70$2.1K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…20$50$940
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…650$1$650
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.20$30$570
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…30$20$530

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11102327090$60$9.3K
    170003190140$40$7.5K
    17004122030$110$7.4K
    99214892,50070$70$7.2K
    17110197070$70$6.6K
    992131502,35050$50$4.3K
    11103325050$40$3.2K
    170032770480$1$3K
    9920340062030$60$2.4K
    1110462010$70$1.3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mainegeneral Medical CenterMEGeneral Acute Care Hospital$0$168.1M
    MainehealthMEGeneral Acute Care Hospital$0$22.7M
    MainehealthMERural Health Clinic/Center$0$16.7M
    Brian DaikhMESpecialist$1.2M$0
    Rachit KumarVAHematology & Oncology Physician$802.4K$0
    Bo PangMEFacial Plastic Surgery Physician$434.3K$0
    MainehealthMECritical Access Hospital$0$433.3K
    Stephan BabirakMEEndocrinology, Diabetes & Metabolism Physician$400K$0
    Mainegeneral Medical CenterMEFamily Medicine Physician$0$375.3K
    Aamir RaiTXAnesthesiology Physician$334.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Motivational Services IncMEVoluntary or Charitable Agency$0$92.2M
    Employment Specialists Of Maine, Inc.MEMental Illness Community Based Residential Treatment Facility$0$84.2M
    Crisis And Counseling Centers, Inc.MEMental Health Counselor$0$21M
    Gallant Therapy ServicesMEDevelopmentally Disabled Services Day Training Agency$0$20.5M
    Children's Center: Early Intervention And Family Support, Inc.MESpecialist$0$13.6M
    Central Maine Area Agency On AgingMEIn Home Supportive Care Agency$0$13.5M
    Anglez Behavioral Health Services PAMECase Management Agency$0$12.5M
    Kennebec Pharmacy And Home Care LLCMEParenteral & Enteral Nutrition Supplies (DME)$0$11.6M
    Kennebec Home Care LLCMEHome Health Agency$0$9.6M
    Central Maine Area Agency On AgingMECase Management Agency$0$8.7M

    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. Maine Distribution
    Joshua Sparling — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine