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

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

Steven Sainsbury (NPI 1679521256)

Field	Value
Entity Type	Individual
Organization	Steven Sainsbury
Address	1383 Alder St
City	San Luis Obispo
State	CA
ZIP	93401
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicare	$258.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,210	$90	$205.3K
99441	N/A	480	$40	$20.3K
G0182	Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or…	100	$80	$8.2K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	60	$140	$7.8K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	70	$80	$5.4K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	20	$230	$4.4K
G0008	Administration of influenza virus vaccine	70	$30	$2.3K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…	30	$80	$2.2K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	60	$30	$2K
99442	N/A	10	$60	$670

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Steven Sainsbury — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0181	298	380	60	$90	$42.9K
99349	17	870	110	$90	$31.7K
G0182	10	30	60	$80	$28K
99345	76	290	30	$150	$12.5K
90694	1,961	5,020	50	$70	$7.7K
99496	764	1,280	20	$220	$7.6K
99347	160	350	50	$30	$5.1K
99442	3,435	3,530	30	$60	$4.1K
G0180	1,345	1,490	30	$40	$3.4K
G0008	3,796	9,800	50	$30	$3K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of San Luis Obispo	CA	Community/Behavioral Health Agency	$0	$66.8M
Pacific Point Laboratories, Inc.	CA	Clinical Medical Laboratory	$8.5M	$38.8M
Community Health Centers Of The Central Coast Inc	CA	Federally Qualified Health Center (FQHC)	$0	$25.3M
San Luis Ambulance Service, Inc.	CA	Land Ambulance	$4.3M	$7.8M
Brian Dicarlo	CA	Hematology & Oncology Physician	$4.7M	$0
San Luis Obispo Surgery Center A California Limited Partnership	CA	Ambulatory Surgical Clinic/Center	$2.9M	$0
Daniel Agarwal	CA	Ophthalmology Physician	$2.3M	$0
Erin Chamberlain	CA	Hematology & Oncology Physician	$1.9M	$0
California Medical Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Steven Johnson	CA	Ophthalmology Physician	$1.5M	$0

Steven Sainsbury — Billing Profile & Reimbursement Data

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Steven Sainsbury — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References