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

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

Sarah Adair (NPI 1962905752)

Field	Value
Entity Type	Individual
Organization	Sarah Adair
Address	1102 W Hayden Ave Ste B
City	Hayden
State	ID
ZIP	83835
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 17, 2018

Payer Source	Total Paid
Medicare	$14.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	160	$50	$7.2K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	40	$140	$5K
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…	30	$40	$1.3K
99212	The 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,…	20	$30	$740
81003	The 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…	30	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Sarah Adair — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	635	2,770	70	$50	$5.7K
87636	1	10	20	$140	$3.2K
99203	482	1,030	30	$60	$2.5K
99212	359	620	30	$30	$1.5K
81003	95	260	20	$1	$110

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Leep	MT	Family Medicine Physician	$78.1K	$0
Mark Christensen	CO	Family Medicine Physician	$71.3K	$0
Kathleen Dilday	CO	Family Nurse Practitioner	$47.2K	$0
Katie Brown	CO	Family Nurse Practitioner	$20.8K	$6.7K
Shanae Vizza	NV	Physician Assistant	$26.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renewed Horizons, LLC	ID	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$19.9M
Wellspring Meadows, Inc.	ID	Personal Care Attendant	$0	$3.9M
Dance Dentistry PLLC	ID	General Practice Dentistry	$0	$2.6M
Periwinkle Children's Therapy	ID	Contractor	$0	$1.8M
Renewed Horizons, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$1.3M
Lookout Behavioral Health LLC	ID	Adult Mental Health Clinic/Center	$0	$888.5K
Public Health District 1	ID	Public Health or Welfare Agency	$0	$843.3K
Shaun Joshi	ID	Nephrology Physician	$523.4K	$0
North Idaho Nephrology Associates, Inc.	ID	Medical Specialty Clinic/Center	$0	$504.4K
Robin Lindauer	ID	Optometrist	$129.3K	$330.6K

Sarah Adair — Billing Profile & Reimbursement Data

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Sarah Adair — 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