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

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

James Sayer (NPI 1912044264)

Field	Value
Entity Type	Individual
Organization	James Sayer
Address	4209 Hohe Street
City	Homer
State	AK
ZIP	99603
Taxonomy	Surgery Physician
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicare	$12.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	60	$110	$6.5K
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…	60	$90	$4.8K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…	10	$50	$550
99153	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…	50	$10	$430

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

James Sayer — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	729	1,210	90	$100	$16.2K
99213	758	1,290	70	$70	$8.5K
99153	4	10	100	$10	$1.2K
G0500	14	10	130	$10	$790

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Peninsula Hospital, Inc	AK	Critical Access Hospital	$0	$30.1M
South Peninsula Behavioral Health Services Inc	AK	Community/Behavioral Health Agency	$0	$21.6M
Seldovia Village Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$10.1M
South Peninsula Behavioral Health Svcs Inc	AK	Respite Care	$0	$4.4M
South Peninsula Hospital, Inc.	AK	Critical Access Hospital	$0	$2.7M
Prodigy Medical, LLC	AK	Oxygen Equipment & Supplies (DME)	$0	$1.5M
James Bourne Dds PC	AK	Dentist	$0	$1.4M
Michael Connors	AK	Optometrist	$0	$1.4M
Homer Eyecare LLC	AK	Optometrist	$0	$1.2M
Homer Senior Citizens, Inc.	AK	Assisted Living Facility	$0	$1.2M

James Sayer — Billing Profile & Reimbursement Data

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James Sayer — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References