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    OpenPayerNPI Medicare & MedicaidSarah Carlson
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    Sarah Carlson — Billing Profile & Reimbursement Data

    NPI 1609381003 · San Antonio, TX · Physician Assistant

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    Sarah Carlson is a physician assistant provider located in San Antonio, Texas. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSarah Carlson
    Address4611 Centerview
    CitySan Antonio
    StateTX
    ZIP78228
    TaxonomyPhysician Assistant
    NPI EnumeratedDecember 6, 2017

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

    Payer SourceTotal Paid
    Medicare$13.4K
    Medicaid$0

    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…130$50$6.6K
    72120In this diagnostic procedure, the provider performs a two or three view radiological study of the lumbosacral spine with the patient in a bending position. He performs this lumbosacral examination to…60$20$1.5K
    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…20$80$1.4K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…60$20$1.4K
    72050In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions…40$30$1.3K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.40$30$1.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…10$10$120
    J1885Injection, ketorolac tromethamine, per 15 mg50$0$0

    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
    9921430,07032,500110$80$17.6K
    992139,91129,79070$60$8.4K
    7211033383030$30$1.3K
    721004711,80030$20$1K
    7205010947020$30$870
    963725,7566,02050$10$810
    7212076020$20$670
    J188549886060$1$50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Farhan TahirPARheumatology Physician$1M$0
    Gerardo ZavalaTXNeurological Surgery Physician$198.8K$0
    Ladislau AlbertTXNeurological Surgery Physician$144.1K$0
    Michelle HugginsGAInternal Medicine Physician$132.2K$0
    William ShortKSFamily Medicine Physician$53K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Medical Home Health Services - San Antonio LLCTXHome Health Agency$0$58.8M
    Santana Primary Home Care, Inc.TXPersonal Care Attendant$0$30.6M
    Once Upon A Time Home Health, LLCTXHome Health Agency$0$24.3M
    Homelife & Community Services, Inc.TXDevelopmental Disabilities Clinic/Center$0$18.6M
    Soft Touch Home Care, IncTXHome Health Agency$0$14.2M
    Metro Treatment Of Texas LPTXMethadone Clinic$70K$3.9M
    Ricardo AlvaradoTXPain Medicine Physician$286.8K$0
    Mario JuarezTXFamily Medicine Physician$91.1K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Sarah Carlson — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas