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    OpenPayerNPI Medicare & MedicaidThomas Sanders
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    Thomas Sanders — Billing Profile & Reimbursement Data

    NPI 1851525364 · Falls Church, VA · Orthopaedic Foot and Ankle Surgery Physician

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    Thomas Sanders is a orthopaedic foot and ankle surgery physician provider located in Falls Church, Virginia. 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
    OrganizationThomas Sanders
    Address2922 Telestar Ct
    CityFalls Church
    StateVA
    ZIP22042
    TaxonomyOrthopaedic Foot and Ankle Surgery Physician
    NPI EnumeratedMay 12, 2009

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

    Payer SourceTotal Paid
    Medicare$64.8K
    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
    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…200$80$15.4K
    99204The provider sees a new 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 provider…70$140$10.4K
    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…90$110$9.3K
    99203The provider sees a new 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 provider…90$80$7.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.200$30$6.2K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.140$30$4.6K
    20606In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa, typically the temporomandibular, acromioclavicular, wrist, elbow, ankle, or…20$80$1.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$120$1.5K
    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…20$60$1.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$40$1.3K

    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
    992147,95912,890140$80$21K
    992133,21712,44090$60$10K
    206109001,16060$50$6.1K
    992041,4926,85040$110$5.9K
    992222,7243,12030$100$4.4K
    992038204,92030$70$3.8K
    992121,4392,83030$40$2.3K
    7356246471040$20$2K
    2940581030$60$1.9K
    20606173020$60$1.8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alex PavidaphaVAVascular & Interventional Radiology Physician$3.5M$0
    Kevin FrickaVAAdult Reconstructive Orthopaedic Surgery Physician$481K$0
    Robert SershonVAAdult Reconstructive Orthopaedic Surgery Physician$464.9K$0
    Bradley WillsALOrthopaedic Surgery Physician$440.2K$0
    William HamiltonVAAdult Reconstructive Orthopaedic Surgery Physician$396.6K$0
    Corey WallachVAOrthopaedic Surgery of the Spine Physician$394.4K$0
    Sandeep BaglaVAVascular & Interventional Radiology Physician$393K$0
    William JohnsonMSOrthopaedic Surgery Physician$392K$0
    Craig McaseyVAAdult Reconstructive Orthopaedic Surgery Physician$342.2K$0
    Ryan HubbardVASports Medicine (Family Medicine) Physician$335.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$176.6M
    American Care Partners At Home IncVAIn Home Supportive Care Agency$0$87.4M
    Emergency Medicine Associates P.A., P.C.VAEmergency Medicine Physician$0$85.6M
    Inova Health Care ServicesVAInternal Medicine Physician$0$38M
    Dominion Home Health Care LLCVAHome Health Agency$0$22.1M
    Ne Virginia Emergency Physicians LLCVAEmergency Medicine Physician$0$15.5M
    Fairfax Radiological ConsultantsVASpecialist$0$10.8M
    American Anesthesiology Of Virginia PCVAAnesthesiology Physician$0$8.9M
    Fairfax County Public SchoolsVALocal Education Agency (LEA)$0$8.2M
    Capital HospiceVACommunity Based Hospice Care Agency$0$5.8M

    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. Virginia Distribution
    Thomas Sanders — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia