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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSebastian Spades
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    Sebastian Spades — Billing Profile & Reimbursement Data

    NPI 1417021007 · Walnut Ridge, AR · Family Medicine Physician

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    Sebastian Spades is a family medicine physician provider located in Walnut Ridge, Arkansas. This profile covers 27 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
    OrganizationSebastian Spades
    Address1210 W Main St
    CityWalnut Ridge
    StateAR
    ZIP72476
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 17, 2006

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

    Payer SourceTotal Paid
    Medicare$18.8K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…100$50$4.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.170$10$1.7K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…200$10$1.6K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…160$10$1.6K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…260$10$1.5K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.110$10$1.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…90$10$740
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.40$20$640
    82044Office or lab personnel will usually perform a semiquantitative urine albumin or microalbumin by using a reagent strip that is able to detect the analyte without the use of a chemistry analyzer or…90$10$560
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…90$10$470

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053221500140$10$4.4K
    80061210410120$10$3.1K
    85025410740120$10$3K
    876351016030$50$2K
    94010637050$10$1.8K
    837359317040$10$1.6K
    800485030050$10$1.4K
    85027105070$10$1.4K
    80076337040$10$1.3K
    7104659285040$10$1.3K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles DavidsonARFamily Medicine Physician$17.8K$0
    Shawn PeytonARFamily Medicine Physician$14K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kidspot Walnut Ridge2ARSpeech-Language Pathologist$0$4.1M
    Kidspot Walnut RidgeARSpeech-Language Pathologist$0$3.1M
    1st Choice Healthcare IncARFederally Qualified Health Center (FQHC)$0$3M
    Families, Inc. Of ArkansasARMental Health Clinic/Center (Including Community Mental Health Center)$0$2.3M
    Lawrence Memorial Health Foundation Inc.ARCritical Access Hospital$0$1.8M
    Necole HughesARFamily Nurse Practitioner$18.3K$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.

    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. Arkansas Distribution
    Sebastian Spades — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas