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    OpenPayerNPI Medicare & MedicaidDarren Sawyer
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    Darren Sawyer — Billing Profile & Reimbursement Data

    NPI 1558800656 · Bloomington, IL · Nurse Practitioner

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    Darren Sawyer is a nurse practitioner provider located in Bloomington, Illinois. This profile covers 8 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDarren Sawyer
    Address1111 Trinity Ln
    CityBloomington
    StateIL
    ZIP61704
    TaxonomyNurse Practitioner
    NPI EnumeratedFebruary 22, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$17.8K
    Medicaid$2.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…120$60$6.7K
    99204The provider sees a new 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 provider…30$100$3K
    99214The 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…40$80$2.8K
    99203The 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$70$1.8K
    99212The 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,…40$30$1.3K
    29085The provider applies a cast encasing the forearm to the palm and includes the thumb. A gauntlet cast, shaped like a glove that comes up over the wrist, treats fractures of the wrist and hand and…20$60$1.2K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.30$30$920
    J1030Injection, methylprednisolone acetate, 40 mg40$10$220

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921414,69918,540110$80$17.1K
    992136,10917,39070$60$8.8K
    992044,4348,58030$110$5.6K
    992033,5466,15030$70$3.8K
    992121,7633,95030$40$2.4K
    2055020035030$40$2.2K
    2908561030$80$1.9K
    J103022735060$10$820

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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$30$2.1K
    99214The 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…10$40$480

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…14,35114,680300$50$48.7K
    99213The 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…10,33814,190280$20$38.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edward BabigumiraILPain Medicine (Physical Medicine & Rehabilitation) Physician$422.8K$213.8K
    Nicole HowellILAnatomic Pathology & Clinical Pathology Physician$135.3K$335.6K
    Donald PennILGastroenterology Physician$454.8K$4.4K
    Brett YockeyINDiagnostic Radiology Physician$143.3K$306.5K
    Juan JimenezILDiagnostic Ultrasound Physician$126.4K$311.2K
    Christopher KerwinILEmergency Medicine Physician$33K$351.8K
    Pooria JavadiILDiagnostic Radiology Physician$114.7K$269K
    Douglas MortonILDiagnostic Radiology Physician$53.5K$309.1K
    Scott GrossbergILDiagnostic Radiology Physician$105.2K$241.9K
    Momin MuzaffarILDiagnostic Radiology Physician$307.9K$36.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sandeep ThotaILDentist$0$5.5M
    St Joseph Medical CenterILHome Health Agency$0$4.8M
    Sreenivasa BasavanthappaILRetina Specialist (Ophthalmology) Physician$3.2M$14.2K
    Adrienne SchupbachILDermatology Physician$1.4M$3K
    Renuka BhaskarILClinical Pathology/Laboratory Medicine Physician$783.2K$530.9K
    Wynn KaoILDermatology Physician$425K$116.2K
    Gustavo GalueILFamily Medicine Physician$136.9K$343.6K
    Benjamin TaimoorazyILInterventional Pain Medicine Physician$105.4K$193.7K
    Chad OsborneILFamily Medicine Physician$126.8K$149.5K
    Wilbert LeonardILPodiatrist$76.5K$189.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Darren Sawyer — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Darren Sawyer — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois