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

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

Sarah Balko (NPI 1518125699)

Field	Value
Entity Type	Individual
Organization	Sarah Balko
Address	580 W College Ave
City	Marquette
State	MI
ZIP	49855
Taxonomy	Registered Dietitian
NPI Enumerated	May 27, 2008

Payer Source	Total Paid
Medicare	$2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	70	$30	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Sarah Balko — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97803	9	10	80	$30	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Day Kimball Medical Group Inc	CT	Family Medicine Physician	$0	$11.9M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
Jason Tartaglione	RI	Orthopaedic Foot and Ankle Surgery Physician	$61K	$320.6K
Brian Baxt	CT	Phlebology Physician	$286.9K	$0
Michael Bradley	RI	Orthopaedic Surgery Physician	$175.8K	$45.7K
Raja Fattaleh	CT	Family Medicine Physician	$179.8K	$0
Timothy Monahan	CT	Dermatology Physician	$139.6K	$0
David Candow	RI	Internal Medicine Physician	$138.1K	$0
Sidney Migliori	RI	Orthopaedic Surgery Physician	$128.9K	$0
Anthony Mechrefe	RI	Orthopaedic Foot and Ankle Surgery Physician	$83.8K	$17.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathways	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$89.1M
Adult Learning Systems-u.p.	MI	Intellectual Disabilities Intermediate Care Facility	$0	$65.8M
Dlp Marquette Physician Practices Inc	MI	Obesity Medicine (Internal Medicine) Physician	$0	$17.8M
Dlp Marquette General Hospital LLC	MI	General Acute Care Hospital	$0	$16.3M
Great Lakes Recovery Centers	MI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8M
Prac Holdings, Inc.	MI	In Home Supportive Care Agency	$0	$6M
Upper Michigan Associates LLC	MI	Ambulatory Surgical Clinic/Center	$1.4M	$0
Nelson Winkler	MI	Ophthalmology Physician	$1M	$0
Sean Rooney	MI	Ophthalmology Physician	$843.7K	$0
Zachary Leonard	MI	Orthopaedic Surgery Physician	$220.4K	$0

Sarah Balko — Billing Profile & Reimbursement Data

Sign up for Sarah Balko — Billing Profile & Reimbursement Data policy alerts

Sarah Balko — Billing Profile & Reimbursement Data

Sign up for Sarah Balko — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References