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

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

Sarah Owen (NPI 1659777118)

Field	Value
Entity Type	Individual
Organization	Sarah Owen
Address	9 Crest Rd
City	Saint Albans
State	VT
ZIP	05478
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 11, 2014

Payer Source	Total Paid
Medicare	$13K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	100	$40	$4.5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$140	$2.4K
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…	30	$70	$1.9K
99442	N/A	30	$40	$1.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	10	$110	$1.4K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	10	$60	$690
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	40	$10	$350
G0008	Administration of influenza virus vaccine	10	$30	$320

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

Claims Volume vs. Vermont Distribution

Sarah Owen — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	800	960	90	$70	$10.6K
G0439	228	240	50	$120	$8.3K
99213	374	910	80	$50	$6.7K
90662	140	140	50	$70	$6.1K
G0008	163	170	70	$20	$3.5K
G0438	9	20	20	$150	$3K
99442	22	50	30	$50	$1.6K
36415	121	160	100	$10	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Care Health Partners - Vermont LLP	VT	Family Medicine Physician	$0	$2.8M
J. Gregory King	VT	Family Medicine Physician	$175K	$0
Lorne Babb	VT	Family Medicine Physician	$98.7K	$0
Stewart Manchester	VT	Family Medicine Physician	$86.4K	$0
Terri Nielsen	VT	Family Medicine Physician	$84.7K	$0
Tina D'amato	VT	Family Medicine Physician	$82.6K	$0
Toby Sadkin	VT	Family Medicine Physician	$61.5K	$0
Camille Zentkovich	VT	Family Nurse Practitioner	$34.1K	$0
Kathleen Burgess	VT	Family Medicine Physician	$30.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwestern Counseling & Support Services	VT	Community/Behavioral Health Agency	$0	$129.9M
Northwestern Counseling & Support Services Inc	VT	Community/Behavioral Health Agency	$0	$70.4M
Amcare Medical Systems, Inc.	VT	Land Ambulance	$576.2K	$2.2M
Baart Behavioral Health Services, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$180.2K	$2.5M
Northwestern Medical Center, Inc.	VT	Pediatrics Physician	$0	$1.4M
Northwestern Medical Center, Inc.	VT	General Acute Care Hospital	$0	$1.1M
Remy Vallee Dmd Inc	VT	Dentist	$0	$1.1M
Calm Reflections Psychotherapy, LLC	VT	Clinical Social Worker	$0	$840.8K
Northwestern Medical Center, Inc.	VT	Urgent Care Clinic/Center	$0	$757.2K
Northern Valley Eyecare, Inc.	VT	Optometrist	$0	$703.1K

Sarah Owen — Billing Profile & Reimbursement Data

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Sarah Owen — 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