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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSara Stein
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    Sara Stein — Billing Profile & Reimbursement Data

    NPI 1477225167 · Waukesha, WI · Nurse Practitioner

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    Sara Stein is a nurse practitioner provider located in Waukesha, Wisconsin. 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
    OrganizationSara Stein
    AddressN20w22961 Watertown Rd
    CityWaukesha
    StateWI
    ZIP53186
    TaxonomyNurse Practitioner
    NPI EnumeratedSeptember 30, 2021

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

    Payer SourceTotal Paid
    Medicare$180.9K
    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
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,710$70$111.1K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…510$90$47.9K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…180$50$8.4K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.70$80$5.6K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…60$50$2.6K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…30$80$2.2K
    93793The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…160$10$1.1K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.20$50$1.1K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…20$60$1K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…10$20$250

    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
    993093400120$70$15.8K
    993101121080$100$15.4K
    9934915619080$80$15.2K
    993069912050$130$10.8K
    993084629060$50$7.7K
    994976819040$60$3.5K
    993162014030$90$3.2K
    G0317323060$20$2.5K
    99315193030$50$1.6K
    93793109300110$10$1.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oak Medical ScWIInternal Medicine Physician$0$4M
    Ana PerelmanWIInternal Medicine Physician$368.6K$0
    Ryan HolzmacherWIInternal Medicine Physician$293.1K$0
    Sarfraz SidhuWIInternal Medicine Physician$232.6K$0
    Michael SullivanWIFamily Medicine Physician$166.7K$0
    Dina SotolaWIFamily Nurse Practitioner$164.6K$0
    Ralph LaraisoWAPhysical Medicine & Rehabilitation Physician$155.4K$0
    Jasdeep SidhuWICardiovascular Disease Physician$144.7K$0
    Courtney LammWIPrimary Care Nurse Practitioner$144K$0
    Muniba ChohanWIInternal Medicine Physician$137.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grace MachiWIOrthodontics and Dentofacial Orthopedics Dentistry$0$5.5M
    Kci Usa, Inc.WIDurable Medical Equipment & Medical Supplies$0$4.8M
    Waukesha School DistrictWILocal Education Agency (LEA)$0$3.3M
    Lss Aspen Center LLCWISubstance Abuse Rehabilitation Facility$0$2.9M
    Planned Parenthood Of WisconsinWIAmbulatory Family Planning Facility$0$2.5M
    Douglas HempelWIRheumatology Physician$1.9M$0
    Lincare Inc.WIDurable Medical Equipment & Medical Supplies$0$1.6M
    Matt Talbot Recovery Services, IncWISubstance Abuse Rehabilitation Facility$0$1.3M
    Mark PearsonWIRheumatology Physician$972.6K$0
    Carly SkamraWIRheumatology Physician$943.5K$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. Wisconsin Distribution
    Sara Stein — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin