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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Sandra Erickson (NPI 1437112315)

Field	Value
Entity Type	Individual
Organization	Sandra Erickson
Address	Po Box 158
City	Herreid
State	SD
ZIP	57632
Taxonomy	Family Nurse Practitioner
NPI Enumerated	April 11, 2006

Payer Source	Total Paid
Medicare	$38.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	280	$80	$22.7K
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…	180	$60	$10.3K
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…	40	$110	$4.2K
99203	The 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…	20	$70	$1.1K
72080	In this diagnostic procedure, the provider performs a minimum of two X–ray views of the area where the thoracic spine meets the lumbar spine to examine the patient's thoracolumbar junction for…	20	$20	$340
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Sandra Erickson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	296	1,660	90	$70	$11.4K
99213	359	1,710	80	$50	$6.4K
99204	271	670	30	$100	$5.1K
99203	476	600	30	$60	$2.9K
36415	259	270	110	$10	$2.3K
72080	7	10	20	$10	$370

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Vilders	AZ	Family Nurse Practitioner	$242.4K	$0
Alexander Nimri	AZ	Nephrology Physician	$147.9K	$0
Basel Channis	AZ	Nephrology Physician	$105.7K	$0
Adam Rodriguez	AZ	Psychiatric/Mental Health Nurse Practitioner	$101.4K	$0
Samer Bani Hani	AZ	Nephrology Physician	$93.8K	$0
Linton Hospital	ND	Rural Health Clinic/Center	$0	$74.1K
Mustafa Alani	AZ	Gastroenterology Physician	$48.2K	$0
Arti Karmur	AZ	Foot & Ankle Surgery Podiatrist	$45.3K	$950
Timothy Kuennen	ND	Certified Registered Nurse Anesthetist	$29.2K	$0
Nurturing Wellness Pediatrics, PLLC	ND	Pediatrics Physician	$0	$28.9K

Sandra Erickson — Billing Profile & Reimbursement Data

Sign up for Sandra Erickson — Billing Profile & Reimbursement Data policy alerts

Sandra Erickson — Billing Profile & Reimbursement Data

Sign up for Sandra Erickson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References