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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Michael Sundborg (NPI 1508857962)

Field	Value
Entity Type	Individual
Organization	Michael Sundborg
Address	145 Applecross Rd
City	Southern Pines
State	NC
ZIP	28388
Taxonomy	Gynecologic Oncology Physician
NPI Enumerated	November 3, 2005

Payer Source	Total Paid
Medicare	$25.2K
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
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	110	$130	$14.2K
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…	80	$60	$4.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$150	$3.6K
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…	30	$90	$2.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$210
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	1,400	$0	$0

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. North Carolina Distribution

Michael Sundborg — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,513	18,060	110	$80	$15.1K
99215	979	5,720	40	$110	$7.7K
99213	7,315	16,320	70	$50	$7.1K
36415	2,797	3,490	90	$10	$6.4K
99205	1,080	2,290	20	$140	$4.9K
J1642	4	10	2,150	$1	$50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firsthealth Of The Carolinas, Inc.	NC	General Acute Care Hospital	$0	$61.5M
Mahmoud Atieh	NC	Interventional Cardiology Physician	$649.6K	$0
Kurt Wohlrab	NC	Orthopaedic Surgery Physician	$415.7K	$0
Bryan Barnes	GA	Neurological Surgery Physician	$398.9K	$0
David Reisman	NH	Hematology & Oncology Physician	$366.8K	$0
John Moore	NC	Orthopaedic Surgery Physician	$351.7K	$0
David Casey	NC	Adult Reconstructive Orthopaedic Surgery Physician	$304K	$0
Robert Parris	AR	Cardiovascular Disease Physician	$280.4K	$0
Eric Frizzell	NC	Gastroenterology Physician	$247.3K	$0
David Allen	NC	Orthopaedic Surgery Physician	$226.5K	$0

Michael Sundborg — Billing Profile & Reimbursement Data

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Michael Sundborg — 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