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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Said Sana (NPI 1679869952)

Field	Value
Entity Type	Individual
Organization	Said Sana
Address	203 E 4th Ave
City	Ranson
State	WV
ZIP	25438
Taxonomy	Family Medicine Physician
NPI Enumerated	June 24, 2011

Payer Source	Total Paid
Medicare	$424.4K
Medicaid	$0

Key Findings

Medicare is the sole payer of recorded claims for this provider: lifetime Medicare revenue is $424.4K and there is no Medicaid billing on file, indicating the practice operates effectively as a Medicare-focused practice rather than a mixed payer clinic. This concentration should be considered when evaluating payer risk and contracting strategy.

Revenue is highly concentrated in a small set of post-acute and home-based E/M services: the top three Medicare codes (99309, 99349, 99214) account for 69.8% of total Medicare revenue, with 99309 alone contributing $180.2K (42.5%) and 99349 contributing $82.1K (19.4%). That mix indicates the practice’s core revenue drivers are discrete service lines rather than a broad spread of office-based procedures.

The code-level mix points to a practice model focused on nursing facility and home/residence care: high-revenue codes include 99309 (subsequent nursing facility visit), 99349 (established patient home visit), 99306 (initial nursing facility visit), 99310 (subsequent high-complexity nursing facility visit), 99316 (nursing facility discharge), and 99350 (high-complexity home visit). These codes collectively suggest routine provision of post-acute, long-term care, and home-based primary care services rather than an office-centric or procedure-heavy practice.

Competitive standing is strong for specific home- and facility-based codes: 99309 ranks #647 of 28092 providers nationally (98th percentile; notably above typical national volume for this code) and 99349 ranks #795 of 14284 providers nationally (94th percentile; notably above typical national volume for this code). These percentile positions indicate this provider is a high-volume national outlier for the core nursing-facility and home-visit services that drive most revenue.

There are select extreme outliers among office-visit codes as well: 99205 appears as an extreme outlier with 151 claims and $22.5K revenue (5.3% of Medicare revenue), ranking #959 of 66257 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). A high relative volume of 99205 suggests either focused intake of complex new patients or coding patterns that yield unusually large counts of high-complexity new-patient visits.

Routine office E/M activity is present but not dominant: 99214 accounts for $33.5K (7.9%) of Medicare revenue and ranks #85612 of 479517 providers nationally (82th percentile; typical, unremarkable volume for this code), while 99215 contributes $31.1K (7.3%) and ranks #9748 of 145531 providers nationally (93th percentile; typical, unremarkable volume for this code). This indicates the practice does see moderate- and high-complexity office visits but these are secondary to home- and facility-based care in revenue impact.

The provider’s service mix includes care-management and end-of-life planning elements: codes such as 99497 (advance care planning, $8.1K, 1.9% of Medicare revenue) appear on the top list alongside nursing facility discharge management 99316 ($11.1K, 2.6%), signaling routine involvement in care transitions and advance-care discussions within the population served. These service lines are consistent with longitudinal primary care for frail or post-acute patients.

The provider has an established billing history with the NPI enumerated on 2011-06-24 (~15 years ago), which, combined with lifetime Medicare revenue of $424.4K and the concentrated code mix, portrays a small but specialized practice profile in RANSON, WV that is nationally notable for select nursing-facility and home-visit services rather than a large, diversified ambulatory practice.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,230	$80	$180.2K
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…	860	$100	$82.1K
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…	340	$100	$33.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	230	$140	$31.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	150	$150	$22.5K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	150	$140	$20.3K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	130	$110	$14.5K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	110	$100	$11.1K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	70	$140	$9.1K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	140	$60	$8.1K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Said Sana — 5 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	5	160	160	$70	$26.3K
99310	12	50	80	$100	$12.8K
99214	357	2,740	100	$70	$11.8K
99349	2	50	50	$80	$11.7K
99306	8	60	50	$130	$10.3K
99348	12	30	40	$60	$9.2K
99213	2,695	2,860	80	$50	$7.5K
99215	19	470	30	$110	$6.8K
99350	7	30	40	$120	$6K
99497	19	110	40	$60	$5K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Alignmed Partners, PC	AL	Geriatric Medicine (Internal Medicine) Physician	$0	$16.8M
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
M Medical Group, Inc.	MD	Critical Care Medicine (Internal Medicine) Physician	$0	$11.3M
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
James Stafford	TX	Radiation Oncology Physician	$1.5M	$0
St Anthony Regional Hospital And Nursing Home	IA	Critical Access Hospital	$0	$1.4M
Caitlin Trainor	PA	Family Nurse Practitioner	$1.3M	$0
St Anthony Regional Hospital And Nursing Home	IA	Family Medicine Physician	$0	$1.1M
Akindele Majekodunmi	MA	Internal Medicine Physician	$404.3K	$730.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson Memorial Hospital	WV	Critical Access Hospital	$0	$21.6M
East Mountain Health Physicians, Inc.	WV	Urgent Care Clinic/Center	$0	$5.1M
Jmh Emergency Physicians	WV	Emergency Medicine Physician	$0	$2.6M
Jefferson Pharmacy Inc	WV	Pharmacy	$13.8K	$2.1M
City Hospital, Inc.	WV	Internal Medicine Physician	$0	$1.9M
Jefferson County Council On Aging	WV	Home Health Agency	$0	$1.5M
Jefferson County Emergency Services Agency	WV	Land Ambulance	$336.8K	$638.2K
Jefferson Memorial Hospital	WV	Internal Medicine Physician	$0	$941.1K
Gagan Singh	WV	Ophthalmology Physician	$449K	$0
Eric Ingersoll	WV	Orthopaedic Surgery Physician	$18.1K	$69.8K

Said Sana — Billing Profile & Reimbursement Data

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Said Sana — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References