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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Michelle Sanger (NPI 1972754885)

Field	Value
Entity Type	Individual
Organization	Michelle Sanger
Address	Raf Lakenheath 48 Mdg/sghc
City	Apo
State	AE (Armed Forces Europe)
ZIP	09461
Taxonomy	Physician Assistant
NPI Enumerated	October 9, 2008

Payer Source	Total Paid
Medicare	$13.9K
Medicaid	$0

Key Findings

This provider’s Medicare activity is narrowly concentrated in evaluation and management office visits: the top three Medicare codes are 99215, 99214, and 99204, and those three codes together account for 100.0% of this provider's total Medicare revenue. The mix includes both high-complexity established patient visits (99215) and moderate-complexity new and established patient visits (99204 and 99214), indicating an outpatient clinic-style practice focused on face-to-face E/M encounters rather than procedure-driven specialties.

Revenue scale is small: total Medicare revenue is $13.9K and there is no Medicaid revenue on file. With Medicaid listed as "none (no Medicaid billing on file)", the provider effectively operates as a single-payer Medicare biller in the available data rather than maintaining a mixed Medicare/Medicaid payer mix.

Revenue concentration within Medicare is heavily skewed to 99215, which generated $8.9K and represents 63.8% of the provider's Medicare revenue. The remaining Medicare revenue is split between 99214 ($3K, 21.9%) and 99204 ($2K, 14.3%), reinforcing a high dependence on a single E/M code for the majority of revenue.

Claims and payment levels show modest volume and reimbursement per encounter: the provider reported 74 claims for 99215 at $120 avg paid/claim, 35 claims for 99214 at $87 avg paid/claim, and 21 claims for 99204 at $95 avg paid/claim. These counts and average payments are consistent with a low-to-moderate patient panel size or limited Medicare patient encounters rather than high-throughput clinic operations.

Competitive standing on the top codes is unremarkable nationally: 99215 ranks #40865 of 145531 providers nationally (72th percentile; typical, unremarkable volume for this code), 99214 ranks #378896 of 479517 providers nationally (20th percentile; typical, unremarkable volume for this code), and 99204 ranks #153366 of 227068 providers nationally (30th percentile; typical, unremarkable volume for this code). None of the three codes show the provider as a dominant or high-volume national player; instead the provider occupies modest, typical positions for these E/M services.

Given the top-code mix and the claim counts, the operational profile appears to be longitudinal outpatient care or clinic-based visits rather than episodic procedural care or hospital-based services. The presence of new-patient high-complexity visits (99204) alongside higher-complexity established-patient visits (99215) suggests the practice manages both initial evaluations and ongoing care for established patients.

The provider’s NPI has been active for an extended period: NPI enumerated on 2008-10-09 (~18 years ago). The longevity paired with low Medicare revenue implies a long-tenured, low-volume Medicare billing footprint rather than a recent entrant or rapidly scaling practice.

The absence of any Medicaid billing on file is a notable business implication: the provider either does not participate in Medicaid, does not see Medicaid-eligible patients, or bills them under a different entity. For payer strategy or network analyses, this provider should be treated as effectively Medicare-only in the available billing records, which limits conclusions about dual-payer contracting or Medicaid market positioning.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$120	$8.9K
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…	40	$90	$3K
99204	The 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…	20	$100	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Michelle Sanger — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15	20	70	$90	$15.4K
99215	2	10	50	$110	$6.9K
99204	8	10	30	$110	$5.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Heino	AE (Armed Forces Europe)	Family Medicine Physician	$31.3K	$136.8K
Joshua Latham	AE (Armed Forces Europe)	Family Medicine Physician	$84.3K	$0
Immacula Nezier	AE (Armed Forces Europe)	Women's Health Nurse Practitioner	$68.4K	$0
Delila Donaldson	AE (Armed Forces Europe)	Clinical Social Worker	$18.2K	$36.4K
Eric Butters	AE (Armed Forces Europe)	Family Nurse Practitioner	$2.6K	$18.5K
Linda Schemm	AE (Armed Forces Europe)	Physical Therapist	$19.5K	$0
Hilary Stamp	AE (Armed Forces Europe)	Pediatrics Physician	$0	$19.1K
Samuel Kjome	AE (Armed Forces Europe)	Family Medicine Physician	$16.2K	$0
Claire Schmidt	AE (Armed Forces Europe)	Optometrist	$13.8K	$0
Jennifer Chow	AE (Armed Forces Europe)	Child & Adolescent Psychiatry Physician	$10.7K	$0

Michelle Sanger — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References