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

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

Bens Sandaire (NPI 1417156332)

Field	Value
Entity Type	Individual
Organization	Bens Sandaire
Address	4050 E 12 Mile Rd
City	Warren
State	MI
ZIP	48092
Taxonomy	Psychiatry Physician
NPI Enumerated	July 11, 2007

Payer Source	Total Paid
Medicare	$48.5K
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
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…	670	$40	$27.5K
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…	240	$60	$13.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	30	$140	$3.6K
99442	N/A	30	$70	$1.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.1K
99212	The 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,…	40	$20	$900
99441	N/A	20	$40	$700

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. Michigan Distribution

Bens Sandaire — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90792	104	230	20	$130	$7K
99213	1,792	14,810	60	$60	$6.6K
99222	4,608	4,810	30	$100	$5K
99231	9	2,000	40	$40	$2.6K
99442	301	730	30	$50	$2.6K
99212	1,040	2,750	30	$40	$2K
99441	176	310	20	$30	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Team Wellness Center	MI	Community Health Clinic/Center	$0	$208.4M
Detroit Central City Community Mental Health Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$29.2M
Abdiel Ramos Mercado	MI	Infectious Disease Physician	$192.7K	$0
John Head	MI	Psychiatry Physician	$186.1K	$0
Hon Chan	MI	Psychiatry Physician	$110.6K	$0
Del Charbonier	MI	Internal Medicine Physician	$21.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reverence Home Health & Hospice, LLC	MI	Home Health Agency	$0	$5.8M
Synergy Spine And Orthopedic Surgery Center, LLC	MI	Ambulatory Surgical Clinic/Center	$653.3K	$0
Patrick Murphy	MI	Ophthalmology Physician	$581.3K	$0
Robert Kohen	MI	Sports Medicine (Orthopaedic Surgery) Physician	$509.9K	$0
Colleen Mikula	MI	Adult Health Nurse Practitioner	$117.6K	$349.9K
Manhal Naoumi	MI	Family Medicine Physician	$415.9K	$0
Piero Simone	MI	Ophthalmology Physician	$325.3K	$0
Terry Revere	MI	Occupational Therapist	$305K	$0
Shabbir Khatri	MI	Physical Therapist	$246.4K	$0
Inderjit Aggarwal	MI	Cardiovascular Disease Physician	$140.2K	$0

Bens Sandaire — Billing Profile & Reimbursement Data

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Bens Sandaire — 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