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

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

Joseph Sappington (NPI 1285629410)

Field	Value
Entity Type	Individual
Organization	Joseph Sappington
Address	300 Hebron Ave
City	Glastonbury
State	CT
ZIP	06033
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	September 14, 2005

Payer Source	Total Paid
Medicare	$67.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	400	$70	$25.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	40	$360	$15.5K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	80	$100	$7.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	50	$160	$7.7K
J2785	Injection, regadenoson, 0.1 mg	120	$50	$5.4K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	240	$10	$2.7K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	50	$50	$2.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	40	$10	$300
J0280	Injection, aminophyllin, up to 250 mg	20	$10	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Joseph Sappington — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	285	330	180	$80	$17.3K
78452	115	200	50	$180	$10.5K
A9500	44	80	90	$80	$9K
99213	397	6,440	70	$60	$8.1K
J2785	52	90	130	$40	$6.7K
93010	361	450	210	$10	$3K
93015	50	120	50	$50	$2.7K
93000	212	1,550	40	$10	$1.3K
J0280	8	10	20	$10	$300

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trading Spaces Aba, LLC	CT	Community/Behavioral Health Agency	$0	$6.7M
Allergy Associates Of Hartford, PC	CT	Allergy Physician	$0	$4.7M
M And M Industries, LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Michael Pines	CT	Psychologist	$0	$1.9M
Glastonbury Volunteer Ambulance Association Inc	CT	Ambulance	$335.1K	$745.6K
Samuel Asomaning	CT	Adult Health Nurse Practitioner	$675.6K	$0
Glastonbury Endoscopy Center, LLC	CT	Ambulatory Surgical Clinic/Center	$379.2K	$104.3K
Christopher Scola	CT	Rheumatology Physician	$455.5K	$0
John Vischio	CT	Rheumatology Physician	$401.4K	$0
Glastonbury Surgery Center, LLC	CT	Ambulatory Surgical Clinic/Center	$393.6K	$0

Joseph Sappington — Billing Profile & Reimbursement Data

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Joseph Sappington — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References