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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Sinclair
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    Daniel Sinclair — Billing Profile & Reimbursement Data

    NPI 1912986019 · Columbus, OH · Diagnostic Radiology Physician

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    Daniel Sinclair is a diagnostic radiology physician provider located in Columbus, Ohio. This profile covers 31 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
    OrganizationDaniel Sinclair
    Address3525 Olentangy River Rd
    CityColumbus
    StateOH
    ZIP43214
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJanuary 17, 2006

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

    Payer SourceTotal Paid
    Medicare$81.5K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…190$70$12.2K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…290$40$10K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…110$80$8.6K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…280$30$7.8K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.120$60$7.4K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…80$90$7.1K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.80$60$5.3K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…610$10$4.3K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.80$40$3.2K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.60$40$2.4K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067246440360$40$21.3K
    77063240430330$30$13.3K
    7417734184090$70$8.6K
    70450760780160$30$5.9K
    7417629881060$60$5.4K
    712752867050$70$4.6K
    7125028579060$40$4K
    755741412030$90$3.6K
    7126028573050$40$3.3K
    71045190920320$10$3.3K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan MarshallNYDiagnostic Radiology Physician$761.9K$4.4K
    David SzczesniakOHDiagnostic Radiology Physician$588.2K$0
    Brian SchirfINVascular & Interventional Radiology Physician$574.9K$200
    William ProminskiDCDiagnostic Radiology Physician$414.6K$0
    Kuldeep VaswaniOHDiagnostic Radiology Physician$253.6K$0
    Leonel VasquezVADiagnostic Radiology Physician$244.7K$0
    Moni SteinOHVascular & Interventional Radiology Physician$243.3K$0
    Navid ArdakaniMNDiagnostic Radiology Physician$241.6K$0
    Peter LaffertyOHDiagnostic Radiology Physician$241.4K$0
    Kort GronbachOHInterventional Pain Medicine Physician$219.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Ohiohealth CorporationOHGeneral Acute Care Hospital$0$76.9M
    Ohiohealth CorporationOHClinical Medical Laboratory$0$44.3M
    Riverside Radiology And Interventional Associates IncOHDiagnostic Radiology Physician$0$30.3M
    Compassus Ohiohealth Columbus Hospice, LLCOHCommunity Based Hospice Care Agency$0$19.4M
    Central Ohio Hospitalists, IncOHSpecialist$0$11.7M
    Ohio Surgery Center LLCOHAmbulatory Surgical Clinic/Center$227.8K$1.1M
    Clem KirklandOHDermatology Physician$725.1K$0
    Thomas SweeneyOHMedical Oncology Physician$712K$0
    Jason SeavoltOHRadiation Oncology Physician$695.3K$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. Ohio Distribution
    Daniel Sinclair — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio