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 Montgomery (NPI 1538726799)

Field	Value
Entity Type	Individual
Organization	Sarah Montgomery
Address	4522 Sarah Loop
City	Chubbuck
State	ID
ZIP	83202
Taxonomy	Family Nurse Practitioner
NPI Enumerated	May 23, 2019

Payer Source	Total Paid
Medicare	$10K
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
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…	70	$70	$5.2K
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…	60	$50	$3.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	30	$40	$1K
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…	20	$40	$620
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	10	$1	$40

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 Montgomery — 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	1,459	2,690	90	$70	$10.4K
99213	2,629	2,770	70	$50	$5.7K
99203	198	1,030	30	$60	$2.5K
87426	3	20	20	$30	$680
81002	178	200	20	$1	$100

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Incare Health Solutions LLC	OH	Internal Medicine Physician	$0	$40.1M
Stephanie Zaino	OH	Nurse Practitioner	$357.2K	$0
Saudia Mushkbar	OH	Family Medicine Physician	$227.7K	$0
Raja Hanif	OH	Family Medicine Physician	$220.6K	$0
Faizan Hafeez	OH	Neurology Physician	$205.3K	$0
Mukti Patel-prineas	CT	Family Medicine Physician	$144K	$0
Tyler Adamson	CA	Sports Medicine (Family Medicine) Physician	$129.2K	$0
Michele Garlough	OH	Family Nurse Practitioner	$126.7K	$0
Daniel Harrington	NJ	Sports Medicine (Family Medicine) Physician	$121.7K	$0
Dale Hager	OH	Family Nurse Practitioner	$107K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcdonald Rehab, PC	ID	Physical Therapist	$0	$4.7M
Access Point Family Services Inc.	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.9M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Emeritus Corporation	ID	Assisted Living Facility	$0	$2.2M
Hannah's Place LLC	ID	Pediatric Physical Therapist	$0	$1.7M
Center Counseling, LLC	ID	Mental Health Counselor	$0	$1.7M
Staralee Baird	ID	Social Worker	$35.5K	$1.4M
Pocatello Med Partners LLC	ID	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
Norco, Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$866.6K
T Help	ID	Community/Behavioral Health Agency	$0	$725.4K

Sarah Montgomery — Billing Profile & Reimbursement Data

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Sarah Montgomery — 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

Nearby Providers

Frequently Asked Questions

References