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    OpenPayerNPI Medicare & MedicaidDaniel Sackett
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    Daniel Sackett — Billing Profile & Reimbursement Data

    NPI 1952510372 · Berlin, VT · Urology Physician

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    Daniel Sackett is a urology physician provider located in Berlin, Vermont. This profile covers 11 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Sackett
    Address130 Fisher Rd
    CityBerlin
    StateVT
    ZIP05602
    TaxonomyUrology Physician
    NPI EnumeratedMay 22, 2007

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

    Payer SourceTotal Paid
    Medicare$46.6K
    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.

    11 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…230$50$10.2K
    99204The provider sees a new 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 provider…90$90$8K
    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…90$70$6.6K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…90$60$5.1K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$300$4.7K
    99203The 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…80$50$4.1K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…20$110$2.6K
    55700Code deleted December 31, 2025.30$90$2.1K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$80$1.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$20$980

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921448296090$70$10.6K
    9921316291080$50$6.7K
    5235621020$300$5.5K
    5200092080$60$5.2K
    992043833030$100$4.1K
    992034931030$60$2.7K
    5233261020$100$2.2K
    5570051020$90$2.1K
    5231011020$110$1.9K
    992126925030$30$1.5K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Vermont median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…233060$1$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aria Health Physicians Services - Emergency MedicinePAEmergency Medicine Physician$0$6.1M
    Daniel LinPAFamily Medicine Physician$127.1K$2.4M
    Farhan TahirPARheumatology Physician$1M$0
    Med-trans CorporationAZAir Ambulance$474.2K$261.6K
    Christopher SchulzePAClinical Cardiac Electrophysiology Physician$625.3K$0
    Paul GrenaPACardiovascular Disease Physician$433.4K$0
    Sheema JalilNJInternal Medicine Physician$408K$0
    Gregory SchroederPAOrthopaedic Surgery Physician$389.9K$0
    Steven MattlemanPACardiovascular Disease Physician$351.6K$1.1K
    Arjun RamprasadPASports Medicine (Family Medicine) Physician$313K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Washington County Mental Health Services, Inc.VTCommunity/Behavioral Health Agency$0$99.3M
    Washington County Family CenterVTDevelopmentally Disabled Services Day Training Agency$0$6.7M
    Treatment Associates, IncVTMental Health Counselor$0$6.2M
    Central Vermont Medical Center IncVTFamily Medicine Physician$0$4.1M
    Baart Behavioral Health Services, Inc.VTSubstance Use Disorder Rehabilitation Clinic/Center$202.1K$2.8M
    Benjamin NewmanVTClinical Social Worker$0$1.5M
    Central Vermont Medical Center IncVTInternal Medicine Physician$0$907.7K
    Keene Medical Products, LLCVTDurable Medical Equipment & Medical Supplies$0$678.6K
    M GouldVTPsychologist$0$574.9K
    City Of Montpelier AmbulanceVTLand Ambulance$190.7K$378.7K

    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. Vermont Distribution
    Daniel Sackett — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont
    Medicaid Revenue by Year vs. Vermont Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Daniel Sackett — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont