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

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

Els Sincebaugh (NPI 1629124136)

Field	Value
Entity Type	Individual
Organization	Els Sincebaugh
Address	42 Dallas Hill Rd
City	Rangeley
State	ME
ZIP	04970
Taxonomy	Physician Assistant
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicare	$870
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	20	$30	$600
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	20	$10	$230
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…	20	$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 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Els Sincebaugh — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
83036	175	230	40	$10	$690
87428	2	10	20	$30	$550
81003	75	140	20	$1	$100

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Jersey Medical And Health Associates,llc	NJ	Internal Medicine Physician	$0	$7.6M
Vincent Arloro	NJ	Podiatrist	$5.7M	$0
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$4.3M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$4.2M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$4.2M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$3.9M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$3.8M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$3.2M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$3M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$2.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$737.9K

Els Sincebaugh — Billing Profile & Reimbursement Data

Sign up for Els Sincebaugh — Billing Profile & Reimbursement Data policy alerts

Els Sincebaugh — Billing Profile & Reimbursement Data

Sign up for Els Sincebaugh — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References