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    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Sanders
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    Thomas Sanders — Billing Profile & Reimbursement Data

    NPI 1497793699 · Denver, CO · Surgical Physician Assistant

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    Thomas Sanders is a surgical physician assistant provider located in Denver, Colorado. This profile covers 17 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
    OrganizationThomas Sanders
    Address2535 S Downing St Ste 180f
    CityDenver
    StateCO
    ZIP80210
    TaxonomySurgical Physician Assistant
    NPI EnumeratedJune 2, 2006

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

    Payer SourceTotal Paid
    Medicare$42.5K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…200$40$8.5K
    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…80$80$6.9K
    72082In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…100$50$4.7K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…20$190$4.5K
    22216The provider incises a vertebra, one of the interlocking bones in the spine, to remove portions of the bone, changing the alignment of the spinal column. This corrects an abnormal curvature in the…60$40$2.5K
    99203The 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…30$70$2.5K
    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…30$60$1.8K
    22212The provider performs an osteotomy, a bony incision, of a thoracic vertebra, one of the bones in the upper back, to realign the spine and correct spinal deformities. He makes the incision in the…20$100$1.6K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$70$1.6K
    22843The provider places spinal instrumentation at the back of the spine across seven to twelve vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$90$1.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22633277020$900$21.7K
    2261448060$210$15.9K
    630472710020$530$12.2K
    992144,0028,16080$80$11.3K
    2261031020$440$9.7K
    22842519020$400$9.1K
    2221621040$180$7.9K
    2284311020$510$7.6K
    2221211020$420$6.8K
    992135,3977,20070$60$6.6K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yousuf GaffarCOHematology & Oncology Physician$1.5M$0
    Misbah ZmilyNMInternal Medicine Physician$609.4K$703K
    Scott HerbertNMHematology & Oncology Physician$312.4K$0
    Michael StaabCOCardiovascular Disease Physician$286.8K$0
    Derek JohnsonCOAdult Reconstructive Orthopaedic Surgery Physician$280.9K$0
    Grant BaileyCOCardiovascular Disease Physician$270K$0
    Srikanth SundaramCOClinical Cardiac Electrophysiology Physician$241.6K$0
    David SchuchmanCOCardiovascular Disease Physician$240.9K$0
    Ira DauberCOInterventional Cardiology Physician$236.3K$0
    Jamie JordanCOClinical Cardiac Electrophysiology Physician$236.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guardian Recovery - Curawest, LLCCOSubstance Abuse Rehabilitation Facility$0$5.9M
    Kidscare Therapy Of Colorado, LLCCOHome Health Agency$0$5.3M
    Peter HovlandCOOphthalmology Physician$1.8M$0
    Harvard Park Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$925.7K$535.2K
    James SwinehartCOSpecialist$423.6K$0
    Carl DemidovichCODermatology Physician$346.8K$0
    Adam WolffCONeurology Physician$337.9K$0
    Jason JacobsCOOphthalmology Physician$281.7K$0
    Justin MoonCONeurology Physician$275.9K$0
    George FreyCOOrthopaedic Surgery of the Spine Physician$219.3K$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. Colorado Distribution
    Thomas Sanders — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado