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

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

Michael Sailer (NPI 1932169729)

Field	Value
Entity Type	Individual
Organization	Michael Sailer
Address	510 8th Ave Ne Ste 200
City	Issaquah
State	WA
ZIP	98029
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	March 24, 2006

Payer Source	Total Paid
Medicare	$199.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	50	$1,240	$58.4K
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…	480	$70	$34.6K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$930	$30.6K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	10	$1,100	$13.2K
J7325	Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,630	$10	$11.4K
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…	100	$100	$10K
20610	In 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…	160	$60	$9.2K
99203	The 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	$6.9K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	190	$30	$5.6K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	20	$270	$4.9K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Michael Sailer — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	304	320	30	$1,190	$46.3K
29827	12	90	20	$1,130	$26.1K
23472	10	100	20	$770	$20.8K
99214	5,199	10,860	100	$80	$13.6K
J7325	33	90	1,390	$10	$11.1K
29824	15	30	20	$340	$8.8K
99213	337	9,690	60	$60	$6.5K
73721	191	210	30	$90	$5.4K
73221	129	180	30	$90	$4.7K
20610	90	790	50	$50	$3.3K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$2.4M	$680
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Proliance Surgeons Inc Ps	WA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.1M	$24.2K
The Retina Surgery Center LLC	WA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$830.4K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$793.8K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$617.8K	$0
Stacia Smith	WA	Orthopaedic Surgery Physician	$324.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swedish Health Services	WA	General Acute Care Hospital	$0	$13.3M
Eastside Emergency Physicians PLLC	WA	Emergency Medicine Physician	$0	$5M
Ryan Nathe	WA	Orthopaedic Surgery Physician	$180.3K	$0
Alexander Arzeno	WA	Orthopaedic Surgery of the Spine Physician	$180K	$0
James Spiegel	WA	Radiation Oncology Physician	$103.5K	$0
Craig Villari	WA	Otolaryngology Physician	$87.9K	$0
Jamie Mcintosh	WA	Physical Therapist	$72.8K	$0
Wilson Chang	WA	Physical Medicine & Rehabilitation Physician	$66.4K	$0
Bryce Munson	WA	Family Medicine Physician	$37.4K	$0
Lidia Wiersum	WA	Gerontology Nurse Practitioner	$36.8K	$0

Michael Sailer — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References