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    OpenPayerNPI Medicare & MedicaidSarah Thomen
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    Sarah Thomen — Billing Profile & Reimbursement Data

    NPI 1811352560 · Torrington, CT · Family Nurse Practitioner

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    Sarah Thomen is a family nurse practitioner provider located in Torrington, Connecticut. This profile covers 38 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
    OrganizationSarah Thomen
    Address200 Kennedy Dr
    CityTorrington
    StateCT
    ZIP06790
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedDecember 23, 2015

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

    Payer SourceTotal Paid
    Medicare$848.2K
    Medicaid$0

    Key Findings

    Payer mix and scale: SARAH THOMEN has total Medicare revenue of $848.2K and has no Medicaid billing on file, making her Medicare the effective sole public-payer revenue stream for this NPI. With no Medicaid claims reported, analysis and contract negotiations should treat this profile as single‑payer (Medicare) dominated rather than balanced between state and federal public programs.

    Revenue concentration: This provider’s Medicare revenue is highly concentrated — the precomputed top 3 codes by revenue account for 87.5% of the provider’s total Medicare revenue. The three top drivers are J9271 ($387K, 46.8%), J9144 ($301K, 36.4%), and 99214 ($36.1K, 4.4%), so a very large share of dollars flows through two injectable oncology agents plus one E&M code.

    Business/service-line implication: The dominance of J9271 (injection, pembrolizumab) and J9144 (injection, daratumumab), together with multiple chemotherapy administration codes (96413, 96401, 96365, 96411, 96415) and high counts of venipuncture and lab panels, indicates the practice operates around infusion-based oncology care. The code mix and high injectable claim counts (9K claims for J9271 and 7.9K claims for J9144) point to a throughput-focused infusion/oncology administration model where drug dispensing drives revenue more than office E&M visits.

    Competitive standing for top oncology drugs: J9271 ranks #1299 of 1841 providers nationally (29th percentile) and is characterized in the source as "typical, unremarkable volume," which positions this provider as a modest participant nationally for pembrolizumab rather than a high-volume outlier. J9144 ranks #314 of 615 (49th percentile) and is likewise labeled "typical, unremarkable volume," indicating a middle-of-the-pack national presence for daratumumab.

    E&M and ancillary services standing: The E&M code 99214 contributes $36.1K (4.4%) and ranks #68885 of 479517 providers nationally (86th percentile) with the source label "typical, unremarkable volume," suggesting the provider maintains a relatively robust established-patient visit load versus the broad national pool. Ancillary procedural and lab volumes are comparatively stronger: 36415 (venipuncture) is at the 97th percentile, 80053 (CMP) at the 92nd, and 85025 (CBC) at the 91st percentile, supporting the inference of a high-volume infusion workflow that produces consistent lab and phlebotomy demand.

    Operational vulnerability and strategic implication: Given that two injectable oncology drugs plus a single E&M code account for 87.5% of Medicare revenue, the provider’s financial performance is concentrated in a narrow set of biologic administrations. Any shifts in utilization patterns, reimbursement for J9271 or J9144, or changes in referral/infusion site arrangements could materially change revenue outcomes for this NPI.

    Tenure and continuity: The NPI was enumerated on 2015-12-23 (~11 years ago), indicating several years of operation under this billing pattern. That tenure supports the interpretation that the observed infusion-heavy revenue mix is an established, ongoing business model rather than a one-off reporting artifact.

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg9,000$40$387K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj7,920$40$301K
    99214The 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…400$90$36.1K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)10,650$1$21.3K
    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…310$60$19K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…110$100$10.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,050$10$8.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.770$10$7.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…830$10$6.6K
    85055The lab analyst evaluates a blood specimen to determine the percentage of reticulated platelets present.130$40$4.6K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92712109,000$40$414.6K
    J91441107,920$40$302.8K
    J08811106,550$1$14.5K
    992145866,48090$90$14.2K
    964132750110$110$13.6K
    992135876,44070$60$8.1K
    Q013811013,770$1$7.2K
    85055310180$30$6.5K
    9640191080$60$5.6K
    96365256050$50$4.7K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yale New Haven HospitalCTGeneral Acute Care Hospital$0$1.1B
    Yale UniversityCTAnesthesiology Physician$0$137.3M
    Yale-new Haven HospitalCTPediatric Dentistry$0$13.7M
    Yale UniversityCTClinical Medical Laboratory$1.4M$10.4M
    Robert SchoenCTRheumatology Physician$1.3M$0
    Yale-new Haven HospitalCTOral and Maxillofacial Surgery (Dentist)$0$1.2M
    Yale UniversityCTClinical Medical Laboratory$946.4K$390
    Wei Jie ZhangCTAnesthesiology Physician$496.9K$7.6K
    Sean ChristensenCTDermatology Physician$441.8K$0
    Alison HaywardRIEmergency Medicine Physician$22.2K$398.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Charlotte Hungerford HospitalCTGeneral Acute Care Hospital$0$89.4M
    Mccall Foundation, Inc.CTMental Health Clinic/Center (Including Community Mental Health Center)$0$19.8M
    Community Health And Wellness Center Of Greater Torrington IncCTPrimary Care Clinic/Center$0$13.2M
    Neighborhood Health, Inc.CTGeneral Practice Physician$0$9.8M
    Community Health & Wellness Center Of Greater TorringtonCTFederally Qualified Health Center (FQHC)$0$7.4M
    Northwest Hills Pediatrics PCCTPediatric Adolescent Medicine Physician$0$5.7M
    The Maria Seymour Brooker Memorial, Inc.CTPediatric Dentistry$0$4.6M
    Icare Dental LLCCTGeneral Practice Dentistry$0$3.9M
    Mccall Foundation, Inc.CTSubstance Abuse Rehabilitation Facility$0$3.9M
    Synergy Advanced Healthcare LLCCTPrimary Care Nurse Practitioner$0$3.5M

    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. Connecticut Distribution
    Sarah Thomen — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut