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

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

Sheila Sarmiento (NPI 1841207982)

Sheila Sarmiento is a surgical physician assistant provider located in Billings, Montana. This profile covers 12 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Sheila Sarmiento
Address	801 N 29th St
City	Billings
State	MT
ZIP	59101
Taxonomy	Surgical Physician Assistant
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicare	$14.4K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	100	$40	$3.9K
57288	The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…	40	$50	$1.8K
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…	30	$50	$1.5K
58260	In this procedure, the provider surgically removes the uterus and cervix only using a vaginal approach, known as a vaginal hysterectomy. The uterus is normal in size, which means it weighs 250 g or…	20	$90	$1.5K
57425	The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.	10	$110	$1.3K
57265	In this procedure, the vaginal walls that hold the bladder, the rectum and the small bowel in place are weak, and the provider must repair the areas in the wall to support these structures with…	10	$100	$1.3K
57282	The surgeon in this procedure performs a colpopexy, which is the suspension of the vaginal apex via a vaginal approach using the extraperitoneal technique. This procedure, also known as vault repair,…	20	$50	$850
57283	The provider pulls up the vaginal vault that is prolapsing using a vaginal approach and attaches it to a ligament inside the peritoneal lining.	20	$40	$740
57250	In this procedure, the provider repairs the vaginal wall where the rectum is pushing through to the vaginal canal. The provider also usually repairs and strengthens the perineum below the vaginal…	10	$50	$520
57160	In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.	20	$30	$500

Showing 1–10 of 12

Sheila Sarmiento — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,528	1,810	100	$70	$12.4K
57425	4	10	10	$690	$11K
99213	758	1,730	90	$50	$7.2K
58260	2	10	20	$370	$6.7K
57288	2	10	20	$210	$5.3K
57265	1	10	10	$370	$4.9K
57282	2	10	20	$210	$3.8K
57283	2	10	20	$120	$2.5K
99212	434	540	30	$30	$1.8K
57250	3	10	10	$150	$1.8K