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    OpenPayerNPI Medicare & MedicaidCaroline Sizer
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    Caroline Sizer — Billing Profile & Reimbursement Data

    NPI 1932492022 · Braintree, MA · Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician

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    Caroline Sizer is a brain injury medicine (physical medicine & rehabilitation) physician provider located in Braintree, Massachusetts. This profile covers 17 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
    OrganizationCaroline Sizer
    Address250 Pond St
    CityBraintree
    StateMA
    ZIP02184
    TaxonomyBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
    NPI EnumeratedMay 23, 2011

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

    Payer SourceTotal Paid
    Medicare$823.2K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit125,730$10$628.6K
    64642The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.210$120$26K
    J0475Injection, baclofen, 10 mg180$140$25.6K
    95874In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…350$70$24.5K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…360$60$23K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…130$160$19.7K
    64644The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.120$150$17.8K
    64643The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.170$80$13.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…140$90$13K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…90$110$10.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0475510420$140$97.3K
    J058511006,500$1$60.7K
    99309577840300$80$37.8K
    99308227750170$50$20.5K
    9930611937080$140$17.9K
    9921410,69815,410110$80$15.6K
    64640101060$120$11.8K
    993057624050$100$10.2K
    64616133040$140$9.2K
    992154,2756,36040$120$8.9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sergio SokolNYCardiovascular Disease Physician$1.8M$5.7M
    Daniel KaoNYPhysical Medicine & Rehabilitation Physician$282.3K$1.4M
    Kelly MctaggartFLFamily Nurse Practitioner$972.7K$0
    Mohammad AalaiNYPain Medicine (Physical Medicine & Rehabilitation) Physician$649K$9.2K
    Zachary BohartMAPhysical Medicine & Rehabilitation Physician$645.1K$5.9K
    Arthur KalmanFLPhysical Medicine & Rehabilitation Physician$640.3K$0
    Xiaolin ZhengNYPhysical Medicine & Rehabilitation Physician$634.7K$490
    Robert HahnNJPhysical Medicine & Rehabilitation Physician$598.4K$0
    Matthew McauliffeTXPhysical Medicine & Rehabilitation Physician$470.8K$0
    Mously Le BlancNYPhysical Medicine & Rehabilitation Physician$465.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vitra Health, Inc.MAAdult Care Home Facility$0$108.8M
    Peabody Resident Services IncMAAdult Care Home Facility$0$105.7M
    South Shore Elder Services IncMACase Management Agency$0$60.7M
    Medical Resources Home Health CorpMAHome Health Agency$0$26.6M
    Vatra Adhc, LLCMAAdult Day Care Clinic/Center$0$12.9M
    Habilitation Assistance CorporationMADevelopmentally Disabled Services Day Training Agency$0$9.6M
    South Shore Hospital Inc.MAHome Health Agency$0$7.9M
    Encompass Health Rehabilitation Hospital Of Braintree, LLCMARehabilitation Hospital$0$6.6M
    Marathon Health Solutions, LLCMAHome Health Agency$0$6.4M
    Mehnaz KhanMAOphthalmology Physician$871.2K$37.7K

    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. Massachusetts Distribution
    Caroline Sizer — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts