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    OpenPayerNPI Medicare & MedicaidSikora Cain
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    Sikora Cain — Billing Profile & Reimbursement Data

    NPI 1851998967 · Longmont, CO · Surgical Physician Assistant

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    Sikora Cain is a surgical physician assistant provider located in Longmont, Colorado. This profile covers 3 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
    OrganizationSikora Cain
    Address1750 E Ken Pratt Blvd
    CityLongmont
    StateCO
    ZIP80504
    TaxonomySurgical Physician Assistant
    NPI EnumeratedOctober 2, 2020

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

    Payer SourceTotal Paid
    Medicare$8.3K
    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.

    3 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…90$50$4.7K
    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…30$70$2.5K
    29405The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. The short leg cast extends from just below the…20$50$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,1668,16080$80$11.3K
    992132,8717,20070$60$6.6K
    29405102020$60$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Julie ChackoCAUrology Physician$361K$0
    Cj KleckCOOrthopaedic Surgery of the Spine Physician$277.9K$0
    Venu AkuthotaCOPhysical Medicine & Rehabilitation Physician$165.7K$0
    Amy TolbertCODiagnostic Radiology Physician$149.1K$0
    Susan LawtonCAFamily Medicine Physician$121.5K$0
    Christopher NusserCODiagnostic Radiology Physician$102K$0
    Roger NicholsCODiagnostic Radiology Physician$94.9K$0
    Braden MayerCOSports Medicine (Orthopaedic Surgery) Physician$79.1K$0
    Markus WuCODiagnostic Radiology Physician$75.1K$0
    Rachel HolmanCOPhysical Medicine & Rehabilitation Physician$65.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Longs Peak HospitalCOGeneral Acute Care Hospital$0$11.8M
    Inspiring TalkersCOSpeech-Language Pathologist$0$9M
    Salud Family HealthCOFederally Qualified Health Center (FQHC)$0$5.7M
    Uchealth Ambulatory Surgery CentersCOAmbulatory Surgical Clinic/Center$754.4K$163.6K
    John BarnettCOHematology & Oncology Physician$669.8K$0
    Hossein MaymaniCOHematology & Oncology Physician$637.1K$0
    Sara RobinsonCOHematology & Oncology Physician$484.3K$0
    Kelly CasteelCOHematology & Oncology Physician$276.7K$0
    Rebekah MaymaniCORadiation Oncology Physician$187.6K$0
    Shane RowanCOClinical Cardiac Electrophysiology Physician$186.5K$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.

    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. Colorado Distribution
    Sikora Cain — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado