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

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

April Sprague (NPI 1619693074)

Field	Value
Entity Type	Individual
Organization	April Sprague
Address	3211 S Iowa St Ste 100
City	Lawrence
State	KS
ZIP	66046
Taxonomy	Family Nurse Practitioner
NPI Enumerated	October 18, 2022

Payer Source	Total Paid
Medicare	$14.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	160	$50	$8.3K
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…	50	$70	$3.4K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	40	$60	$2.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	40	$10	$300
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	10	$20	$230
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	10	$20	$190
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	30	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

April Sprague — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,119	4,310	120	$70	$16.4K
99213	1,348	4,330	90	$50	$8.7K
36415	865	1,090	150	$10	$6.3K
71046	691	740	30	$10	$1.2K
87428	9	90	20	$50	$1.2K
87880	104	120	20	$20	$350
81003	269	570	30	$1	$170

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bert Nash Community Mental Health Center Inc	KS	Community/Behavioral Health Agency	$0	$28.8M
Bert Nash Community Mental Health Center Inc	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.7M
Lawrence Memorial Hospital	KS	General Acute Care Hospital	$0	$5.3M
Haskell Indian Health Center	KS	Federal Public Health Clinic/Center	$0	$2.7M
Jay Robinow	KS	Radiation Oncology Physician	$1.2M	$0
Benjamin Slane	KS	Radiation Oncology Physician	$1.1M	$0
Darren Klish	KS	Radiation Oncology Physician	$1M	$0
David Battin	KS	Interventional Cardiology Physician	$464.6K	$0
Christopher Penn	KS	Infectious Disease Physician	$364.8K	$0
Naga Garikipati	KS	Clinical Cardiac Electrophysiology Physician	$329.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independence Inc. Pass Program	KS	Home Health Agency	$0	$23M
City Of Lawrence	KS	Land Ambulance	$941.4K	$1.5M
Rosewood Support Services, Inc	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.3M
The Arc Of Douglas County	KS	Case Management Agency	$0	$1.3M
Bhg Lxxv, LLC	KS	Substance Use Disorder Rehabilitation Clinic/Center	$99.4K	$155.9K
Andrew Slikker	KS	Family Medicine Physician	$18.6K	$0

April Sprague — Billing Profile & Reimbursement Data

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April Sprague — 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