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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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 Maddux (NPI 1518155662)

Field	Value
Entity Type	Individual
Organization	Sarah Maddux
Address	215 E Hawaii Ave
City	Nampa
State	ID
ZIP	83686
Taxonomy	Physician Assistant
NPI Enumerated	October 12, 2007

Payer Source	Total Paid
Medicare	$20.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	300	$40	$11.3K
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…	100	$60	$5.8K
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…	20	$50	$1.1K
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,…	60	$20	$1K
99441	N/A	40	$20	$880

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Sarah Maddux — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,193	2,690	90	$70	$10.4K
99213	231	2,770	70	$50	$5.7K
99203	663	1,030	30	$60	$2.5K
99212	138	620	30	$30	$1.5K
99441	5	40	20	$30	$810

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A&r Case Management	ID	Case Management Agency	$0	$18.1M
High Valley Developmental	ID	Developmentally Disabled Services Day Training Agency	$0	$15.5M
Nampa School District #131	ID	Local Education Agency (LEA)	$0	$15.2M
The Lilypad, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Witco, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Allegiant Health LLC	ID	In Home Supportive Care Agency	$0	$6.9M
Vics Family Pharmacy Inc	ID	Pharmacy	$28.2K	$4.9M
Children's Dentistry Of Idaho, PLLC	ID	Pediatric Dentistry	$0	$3.9M
Idaho Dental Aid PLLC	ID	Dentist	$0	$3.6M
All For One, LLC	ID	Case Management Agency	$0	$2.5M

Sarah Maddux — Billing Profile & Reimbursement Data

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Sarah Maddux — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References