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

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

Sarita Stovall (NPI 1598320210)

Field	Value
Entity Type	Individual
Organization	Sarita Stovall
Address	800 Oak Ridge Tpke Ste C260
City	Oak Ridge
State	TN
ZIP	37830
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	May 8, 2019

Payer Source	Total Paid
Medicare	$84.1K
Medicaid	$0

Key Findings

The provider’s billing profile is dominated by ESRD monthly-management services: 90960 (287 claims, $241 avg paid/claim, $69.2K revenue) is the single largest line item and 90961 (49 claims, $199 avg paid/claim, $9.8K revenue) is the second; both codes describe face-to-face monthly management for patients with end stage renal disease and indicate the practice’s primary service line is ESRD care rather than general primary-care office visits. This code mix suggests the provider operates in a dialysis- or ESRD-management role where frequent monthly encounters (two to four+ visits per month) are the routine service model.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 98.4% of the provider’s total Medicare revenue, with 90960 alone representing 82.1% of Medicare revenue. That degree of concentration implies the provider’s Medicare financial picture is closely tied to continued ESRD case volume and reimbursement for those specific monthly-management codes.

Payer mix is effectively single-payer at the claim level: lifetime Medicare revenue is $84.1K and there is no Medicaid billing on file. The absence of Medicaid activity means analyses of the provider’s public-payer exposure should treat Medicare as the operational baseline and avoid assumptions about dual-eligible or state-program revenue without additional data.

Competitive standing on the top ESRD code is above average but not dominant: 90960 ranks #1136 of 6549 providers nationally (83th percentile), which indicates a stronger-than-median national presence on that code while the accompanying descriptor remains “typical, unremarkable volume for this code.” By contrast, 90961 ranks #2734 of 6091 providers nationally (54th percentile), placing that second ESRD code near the middle of peer activity and consistent with a focused but not nationally leading ESRD footprint.

General office evaluation-and-management work is a small share of billed services: 99214 (52 claims, $76 avg paid/claim, $4K revenue) and 99213 (23 claims, $58 avg paid/claim, $1.3K revenue) together contribute only minor Medicare revenue. These E/M codes rank in lower percentiles (99214 at the 30th percentile and 99213 at the 15th percentile) and are described as “typical, unremarkable volume for this code,” indicating limited office-based primary care relative to national peers.

Tenure is relatively recent: the NPI was enumerated on 2019-05-08 (~7 years ago), so the provider’s observable Medicare billing history spans a relatively short window compared with long-tenured clinicians. Coupled with the heavy revenue concentration in a small set of ESRD codes, the combination of limited tenure and concentrated service mix could make observed revenue patterns sensitive to changes in referral networks, dialysis partnerships, or ESRD patient panels.

Across the reported Medicare codes, available data characterize volumes as “typical, unremarkable” rather than statistical outliers; none of the listed codes are flagged as notably above or below typical in the source labels. Analysts should therefore interpret this profile as a focused ESRD-management practice with stronger-than-average activity on 90960 but otherwise conventional billing patterns rather than extremal or anomalous behavior.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	290	$240	$69.2K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	50	$200	$9.8K
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…	50	$80	$4K
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	$60	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Sarita Stovall — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	3	130	170	$260	$49.1K
99214	69	11,370	120	$80	$16.6K
90961	2	130	40	$210	$11.7K
99213	87	11,030	80	$50	$8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Redmon	TN	Family Medicine Physician	$217.4K	$643.2K
Randall Towne	TN	Cardiovascular Disease Physician	$768.6K	$0
Sidney Collins	TN	Surgery Physician	$410.5K	$0
John Berry	TN	Cardiovascular Disease Physician	$329.8K	$130
Charles Joels	TN	Vascular Surgery Physician	$170.5K	$2.2K
Jessica Van Slyke	TN	Family Nurse Practitioner	$152.9K	$8.4K
John Vance	TN	Surgery Physician	$150.6K	$0
Lori Davis	TN	Family Nurse Practitioner	$127.4K	$0
Timothy Klepper	TN	Surgery Physician	$106.7K	$7.6K
Jamie Monger	TN	Family Nurse Practitioner	$112.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ridgeview Psychiatric Hospital And Center, Inc.	TN	Psychiatric Hospital	$0	$42M
Southeastern Physician Services PC	TN	Hospitalist Physician	$0	$14.7M
Emory Valley Center	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$11.3M
Discover Diagnostic Laboratory, LLC	TN	Clinical Medical Laboratory	$363.5K	$4.7M
Children's Clinic	TN	Pediatric Adolescent Medicine Physician	$0	$4.7M
East Tennessee Ear, Nose & Throat Specialists, PC	TN	Otolaryngology Physician	$0	$2.6M
East Tennessee Children's Primary Care Center, Inc.	TN	Pediatrics Physician	$0	$2.4M
The Eye Surgery Center Of Oak Ridge LLC	TN	Clinic/Center	$783K	$3.3K
Surgery Center Of Oak Ridge, LLC	TN	Ambulatory Surgical Clinic/Center	$241K	$493.4K
Brian Burnett	TN	Family Nurse Practitioner	$661.1K	$0

Sarita Stovall — Billing Profile & Reimbursement Data

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Sarita Stovall — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References