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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarson Van Sanford
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    Carson Van Sanford — Billing Profile & Reimbursement Data

    NPI 1669869574 · Everett, WA · Neurology Physician

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    Carson Van Sanford is a neurology physician provider located in Everett, Washington. This profile covers 5 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarson Van Sanford
    Address1321 Colby Ave
    CityEverett
    StateWA
    ZIP98201
    TaxonomyNeurology Physician
    NPI EnumeratedApril 17, 2015

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

    Payer SourceTotal Paid
    Medicare$15.9K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…40$160$6.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$130$5.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$90$3.1K
    99451A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…30$30$870
    99446A consulting physician or other qualified healthcare professional performs a five– to 10–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…30$10$350

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992331,7022,42060$90$10.4K
    992916351,43040$170$9.1K
    992239802,57030$130$6.4K
    99451355040$30$1.8K
    9944611030$10$350

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edwin JacobsCAHematology & Oncology Physician$654.4K$0
    Daniel StroupeILInfectious Disease Physician$123.1K$318K
    Brian MagovernCAOrthopaedic Surgery Physician$390.9K$0
    Mostafa RahimiCAFamily Medicine Physician$254.1K$0
    Philip WeintraubCAUrology Physician$250.9K$0
    Sumit RanaCAAdult Reconstructive Orthopaedic Surgery Physician$238.3K$0
    Nirav ShahCAAdult Reconstructive Orthopaedic Surgery Physician$235.3K$0
    David MokCAClinical Cardiac Electrophysiology Physician$228.4K$0
    Lawrence MayCAInternal Medicine Physician$177.6K$0
    Trenton OverallUTNeurology Physician$170.7K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Carson Van Sanford — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington