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

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

Justin Sacks (NPI 1497835946)

Field	Value
Entity Type	Individual
Organization	Justin Sacks
Address	4921 Parkview Pl
City	Saint Louis
State	MO
ZIP	63110
Taxonomy	Plastic Surgery Physician
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicare	$17.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
15734	The provider develops a muscle, myocutaneous, or fasciocutaneous flap obtained from the trunk (the area between the neck and the waist) and places it over a defect on the patient's body.	10	$1,100	$14.3K
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…	30	$80	$1.9K
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,…	30	$40	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Justin Sacks — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15734	5	10	30	$890	$30.3K
99203	1,613	2,950	30	$70	$3.2K
99212	1,046	1,930	30	$30	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Rubin	MO	Vascular Surgery Physician	$167.7K	$57.2K
Brent Allen	MO	Vascular Surgery Physician	$205K	$0
Patrick Geraghty	MO	Vascular Surgery Physician	$142.9K	$55.2K
Luis Sanchez	MO	Vascular Surgery Physician	$152.6K	$44.1K
Joshua Palka	MI	Urology Physician	$183.3K	$0
Gerald Fortuna	SC	Vascular Surgery Physician	$166.9K	$0
Yousef Al-shraideh	MO	Urology Physician	$138K	$2.6K
Julie Margenthaler	MO	Surgical Oncology Physician	$122.1K	$0
Christopher Arett	MO	Urology Physician	$101.2K	$0
Hing Hung Lai	IA	Urology Physician	$99.9K	$0

Justin Sacks — Billing Profile & Reimbursement Data

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Justin Sacks — 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

Frequently Asked Questions

References