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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrad Sandler
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    Brad Sandler — Billing Profile & Reimbursement Data

    NPI 1710981360 · Granger, IN · Neuromusculoskeletal Medicine & OMM Physician

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    Brad Sandler is a neuromusculoskeletal medicine & omm physician provider located in Granger, Indiana. This profile covers 18 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
    OrganizationBrad Sandler
    Address51050 Bittersweet Rd
    CityGranger
    StateIN
    ZIP46530
    TaxonomyNeuromusculoskeletal Medicine & OMM Physician
    NPI EnumeratedJune 10, 2005

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

    Payer SourceTotal Paid
    Medicare$176.3K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.80$470$35.8K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…130$150$20.5K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…70$240$17.2K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…100$170$16.9K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…90$170$15.2K
    99213The 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…270$60$15.1K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…150$80$12K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…90$100$8.7K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…20$380$6.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…130$50$6.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    646352115030$360$16.1K
    644933218050$180$12.2K
    623235719050$150$10.8K
    64633275020$380$9.5K
    992131,43810,82080$50$7.6K
    64490649030$190$6.7K
    623218112030$160$5.2K
    206119814040$70$5.2K
    992041,8254,69030$100$4.9K
    206102471,00050$40$4.6K

    Showing 1–10 of 18

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beacon Medical Group, Inc.INUrgent Care Clinic/Center$0$7.2M
    Natali BalogINRheumatology Physician$2.4M$0
    Mary Ann DomingoINRheumatology Physician$1.4M$0
    Kevin KristlINNeurology Physician$110.8K$548.8K
    South Bend Specialty Surgery Center, LLCINAmbulatory Surgical Clinic/Center$540.5K$16.8K
    Asc Surgical Ventures, LLCINAmbulatory Surgical Clinic/Center$276.8K$0
    Sara GoldenINFamily Nurse Practitioner$222.9K$0
    Paul SmuckerINPhysical Medicine & Rehabilitation Physician$168.9K$0
    Christopher QuinnINFamily Medicine Physician$153.1K$0
    Walter KolmodinINPodiatrist$118.4K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    Brad Sandler — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana