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

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

Charles Sisson (NPI 1699717181)

Field	Value
Entity Type	Individual
Organization	Charles Sisson
Address	2244 E Harmony Rd Ste 100
City	Fort Collins
State	CO
ZIP	80528
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

CHARLES SISSON is listed as a Pain Medicine (Anesthesiology) Physician practicing in FORT COLLINS, CO with an NPI enumeration date of 2006-06-11 (~20 years ago), indicating long-tenure in the dataset. The provider’s specialty and long enrollment window are clear from the profile data.

Lifetime Medicare revenue is reported as $2.6M while Medicaid revenue is listed as none (no Medicaid billing on file), so this provider effectively operates as a single-payer (Medicare) biller in the available records. There is no Medicaid presence to compare against Medicare activity.

Revenue is extremely concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue, and the single listed top code K1034 is shown with $2.7M revenue. This concentration implies the provider’s Medicare dollar volume is dominated by one service line rather than a diversified mix of procedures.

The top-revenue code is K1034 (provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count) with 221.2K claims and a $12 avg paid/claim. This code-level mix suggests the provider’s Medicare activity functions as a high-volume COVID self-test provision or distribution operation rather than traditional pain-medicine procedure billing.

K1034 ranks #123 of 30143 providers nationally (100th percentile; notably above typical national volume for this code), signifying a nationally prominent role for this specific COVID-test service. The rank and percentile position the provider among the highest-volume national billers for K1034, making it a major participant for that CPT/HCPCS item.

The dataset labels this code’s standing as “notably above typical national volume,” and combined with the 100.0% top-3 revenue share, the profile is a statistical outlier in revenue concentration. For analysts, this pattern indicates a specialized billing footprint concentrated on one high-volume product line rather than a broad clinical service portfolio.

Operational and payer-risk implications are material: dependence on a single Medicare code (K1034) for the majority of reported Medicare dollars could create sensitivity to coding, reimbursement, or policy changes affecting COVID-test billing. Analysts should monitor longitudinal claims for diversification away from K1034, changes in avg paid/claim, and the continued absence of Medicaid billing to assess stability and competitive positioning.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	221,170	$10	$2.7M

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Charles Sisson — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	3	420	260	$10	$68.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado Health Providers LLC	CO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$4.9M
Arnaldo Da Silva	FL	Neurology Physician	$429.1K	$0
Andrew Roberts	CO	Interventional Pain Medicine Physician	$116.9K	$0
Veronica Misko	CO	Gerontology Nurse Practitioner	$77K	$0
Anne Halseide	CO	Physical Therapist	$55.1K	$0
Tamara Johnson	NE	Family Medicine Physician	$20.1K	$0
Michael Shell	CO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$11.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harmony Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$5.4M	$2.8M
Noco Pediatric Ot, LLC	CO	Occupational Therapist	$0	$5.7M
Tender Care Pediatric Services, Inc	CO	In Home Supportive Care Agency	$0	$5.4M
Surgery Center Of Northern Colorado	CO	Ambulatory Surgical Clinic/Center	$4.3M	$702.8K
E Plus Pet Imaging Xviii LP	CO	Radiology Clinic/Center	$2.1M	$964.4K
Matthew Asano	CO	Ophthalmology Physician	$2M	$0
Michael Thakor	CO	Rheumatology Physician	$1.8M	$0
Harmony Imaging Center LLC	CO	Diagnostic Radiology Physician	$1.1M	$417.9K
Tamara Miller	CO	Specialist	$1.4M	$0
Joshua Petit	CO	Radiation Oncology Physician	$443.5K	$0

Charles Sisson — Billing Profile & Reimbursement Data

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Charles Sisson — 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