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

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

John Sayles (NPI 1376557504)

Field	Value
Entity Type	Individual
Organization	John Sayles
Address	6251 E Virginia Beach Blvd Ste 300
City	Norfolk
State	VA
ZIP	23502
Taxonomy	Surgery Physician
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicare	$32.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
44205	The provider performs laparoscopic partial colectomy with removal of the end of the ileum and connection of the remaining ileum and colon segments.	10	$1,050	$12.6K
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…	130	$50	$6.4K
99204	The provider sees a new 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 provider…	50	$100	$4.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$130	$3.7K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	60	$40	$2.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$110	$1.6K
99214	The 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…	20	$70	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

John Sayles — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12,133	12,890	140	$80	$21K
44205	3	10	10	$810	$11.3K
99213	4,690	12,440	90	$60	$10K
99215	3,639	4,030	40	$120	$9.5K
99204	2,421	6,850	40	$110	$5.9K
99205	788	1,620	30	$150	$5.7K
99231	449	1,500	40	$40	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lindsey White	NC	Cardiovascular Disease Physician	$820.2K	$0
Alan Maniet	NC	Cardiovascular Disease Physician	$556.2K	$0
Anthony Bevilacqua	VA	Orthopaedic Surgery Physician	$385.9K	$0
Sidney Sutton	NC	Family Medicine Physician	$315.4K	$0
Scott Grabill	NC	Orthopaedic Surgery Physician	$250.8K	$0
Ethan Silver	VA	Diagnostic Radiology Physician	$249K	$0
Kerry Partis	NC	Family Medicine Physician	$221.8K	$0
Joseph Mcmonagle	VA	Diagnostic Radiology Physician	$201.6K	$130
David Malin	VA	Diagnostic Radiology Physician	$197.1K	$0
Jared Miller	NC	Sports Medicine (Family Medicine) Physician	$183K	$0

John Sayles — Billing Profile & Reimbursement Data

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John Sayles — 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

Frequently Asked Questions

References