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

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

Sarah Ellsworth (NPI 1285062075)

Field	Value
Entity Type	Individual
Organization	Sarah Ellsworth
Address	194 E Main St
City	Fort Kent
State	ME
ZIP	04743
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	October 15, 2013

Payer Source	Total Paid
Medicare	$7.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	90	$40	$3K
99213	The 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…	80	$40	$2.9K
99443	N/A	30	$50	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Sarah Ellsworth — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90833	10	20	90	$40	$4.9K
99213	787	2,350	50	$50	$4.3K
99443	9	80	20	$60	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Aroostook Medical Center	ME	General Acute Care Hospital	$0	$38.5M
Acadia Hospital Corp	ME	Psychiatric Hospital	$0	$14.2M
Northern Maine Medical Center	ME	Critical Access Hospital	$0	$5.8M
Northern Maine Medical Center	ME	Rural Health Clinic/Center	$0	$3M
Northern Maine Medical Center	ME	Rural Health Clinic/Center	$0	$2.8M
Bogdan Cherascu	IA	Rheumatology Physician	$2.4M	$0
Allan Espinosa Morazan	AZ	Medical Oncology Physician	$2.2M	$0
Northern Maine Medical Center	ME	Rural Health Clinic/Center	$0	$1.5M
Cheryl Lee	WA	Ophthalmology Physician	$1.5M	$0
Nathan Uebelhoer	CA	MOHS-Micrographic Surgery Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fish River Rural Health	ME	Federally Qualified Health Center (FQHC)	$0	$7.7M
Northern Maine Medical Center	ME	Rural Health Clinic/Center	$0	$1.3M
Fish River Rural Health	ME	Federally Qualified Health Center (FQHC)	$0	$1.3M
Ambulance Service Inc.	ME	Land Ambulance	$223.7K	$733.4K
Polished Oral Health, LLC	ME	Dental Hygienist	$0	$371.9K
John Hotchkiss	ME	Diagnostic Radiology Physician	$93.6K	$61.4K
James Harris	ME	Internal Medicine Physician	$91.7K	$0
Northern Maine Medical Center	ME	Community/Retail Pharmacy	$71.3K	$280
Savannah Paradis-hamilton	ME	Occupational Therapist	$51.2K	$0
Timothy Rioux	ME	Optometrist	$50.2K	$0

Sarah Ellsworth — Billing Profile & Reimbursement Data

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Sarah Ellsworth — 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