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    OpenPayerNPI Medicare & MedicaidStephanie Sisneros
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    Stephanie Sisneros — Billing Profile & Reimbursement Data

    NPI 1356397970 · Mission Viejo, CA · Physician Assistant

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    Stephanie Sisneros is a physician assistant provider located in Mission Viejo, California. This profile covers 10 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
    OrganizationStephanie Sisneros
    Address26302 La Paz Rd
    CityMission Viejo
    StateCA
    ZIP92691
    TaxonomyPhysician Assistant
    NPI EnumeratedMay 25, 2006

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

    Payer SourceTotal Paid
    Medicare$45.4K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97814The provider pierces the skin using one or more needles and stimulates anatomical points on or in the skin by manipulating the needles by electrical stimulation. This code represents each additional…540$30$14.6K
    97813The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by electrical stimulation for an initial…270$30$9.2K
    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…130$60$8.3K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…130$50$5.8K
    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…30$80$2.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$40$2K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…70$20$1.3K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…20$30$660
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…40$20$610
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$30$380

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    971106,2666,720490$20$17.1K
    9921312,85234,66080$70$13.2K
    971405,7535,950340$20$10.5K
    978131140170$40$10K
    97814740250$30$9.6K
    992036,18012,74030$80$4.6K
    205537747050$40$4.4K
    992122,8077,97030$40$3.4K
    721001,3882,04040$20$1.4K
    735601,4531,67030$20$1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Farah AwadallaCADermatology Physician$1.4M$320K
    Michael TruongCAEndocrinology, Diabetes & Metabolism Physician$1.2M$0
    Lynne HungCAClinical Cardiac Electrophysiology Physician$1.1M$0
    California Specialty Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$947.8K$0
    Anne LuhanCASurgery Physician$923.1K$0
    Reza AllamehzadehCAInternal Medicine Physician$519.5K$50.3K
    Brian ToyCADermatology Physician$533.3K$0
    Erik PasinCAUrology Physician$484K$0
    Absalom HepnerCANuclear Cardiology Physician$461.7K$2.7K
    Mission Ambulatory Surgicenter Ltd.CAAmbulatory Surgical Clinic/Center$451.1K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Stephanie Sisneros — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California