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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Sentz
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    John Sentz — Billing Profile & Reimbursement Data

    NPI 1497074561 · Richmond, VA · Pulmonary Disease Physician

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    John Sentz is a pulmonary disease physician provider located in Richmond, Virginia. This profile covers 24 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
    OrganizationJohn Sentz
    Address6600 W Broad St Ste 300
    CityRichmond
    StateVA
    ZIP23230
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 27, 2010

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

    Payer SourceTotal Paid
    Medicare$766.1K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2357Injection, omalizumab, 5 mg9,950$30$298.4K
    J2182Injection, mepolizumab, 1 mg10,000$20$230K
    99214The 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…1,000$90$92.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…550$50$25.8K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…440$40$16.8K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.390$40$14.9K
    99213The 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…210$60$13.6K
    99204The 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…70$110$8.1K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.190$40$7.3K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…40$170$7.1K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J23578405,630$30$212.4K
    J21825206,100$20$180.2K
    9921445312,890140$80$21K
    9949095510130$50$15.5K
    992331,6313,29080$90$13.7K
    9945457210220$40$13.6K
    992911,0671,95050$170$12.2K
    92526224090$70$11.5K
    9945739220220$40$10.3K
    992133,00912,44090$60$10K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chippenham & Johnston-willis Hospitals IncVAGeneral Acute Care Hospital$0$103.7M
    Hca Health Services Of Virginia IncVAGeneral Acute Care Hospital$0$64.5M
    Columbia/hca John Randolph, Inc.VAGeneral Acute Care Hospital$0$49.1M
    El Paso Healthcare System LtdTXGeneral Acute Care Hospital$0$38.5M
    Spotsylvania Medical Center IncVAGeneral Acute Care Hospital$0$31M
    Mission Health Community Multispecialty Providers, LLCNCInternal Medicine Physician$0$24.1M
    Columbia Medical Center Of Arlington Subsidiary LPTXGeneral Acute Care Hospital$0$21.8M
    Columbia Hospital At Medical City Dallas Subsidiary LPTXGeneral Acute Care Hospital$0$21.5M
    Lewis Gale Physicians LLCVAInternal Medicine Physician$0$20.6M
    Reston Hospital Center LLCVAGeneral Acute Care Hospital$0$14.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Insight IncVABehavior Analyst$0$93.5M
    Richmond Residential Services, IncVAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$56.6M
    Hype Counseling Services LLCVACommunity/Behavioral Health Agency$0$44.7M
    National Counseling Group, IncVAMental Health Counselor$0$32.2M
    Brothers Keeper IncVACommunity/Behavioral Health Agency$0$25.6M
    Heart Havens IncVAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$19.4M
    Central Virginia Healthcare AssociationVACommunity/Behavioral Health Agency$0$17.3M
    The Concordia Group, Inc.VAHome Health Agency$0$16.6M
    Pinnacle Treatment Centers Va-i, LLCVAMethadone Clinic$99.1K$16.4M
    Virginia Family ServicesVACommunity/Behavioral Health Agency$0$13.6M

    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. Virginia Distribution
    John Sentz — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia