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

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

Dennis Sanders (NPI 1982603221)

Field	Value
Entity Type	Individual
Organization	Dennis Sanders
Address	792 College Pkwy
City	Colchester
State	VT
ZIP	05446
Taxonomy	Medical Oncology Physician
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

DENNIS SANDERS is an experienced Medical Oncology Physician with an NPI enumerated on 2005-07-19 (~21 years ago), indicating long tenure and likely established referral relationships and clinical practice patterns in COLCHESTER, VT. The longevity supports interpretation of stable practice mix rather than a new or transient operation.

This provider bills almost exclusively to Medicare: total Medicare revenue is $1.3M while there is no Medicaid billing on file, making the provider effectively single-payer (Medicare-focused) in the available claim data. Absence of Medicaid activity suggests limited participation in state Medicaid programs or a patient panel concentrated in fee-for-service Medicare.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 82.4% of this provider’s total Medicare revenue, signaling that a very small set of services drives the bulk of income and operational volume. This concentration is consistent with a focused oncology practice centered on high-cost injectable cancer therapies and E/M visits.

The largest revenue driver is J9271 (pembrolizumab), which accounts for $576.2K and 45.8% of Medicare revenue; this places the provider at rank #806 of 1841 nationally (55th percentile). That percentile and rank indicate a mid-range national volume for pembrolizumab—meaning the provider offers substantial immunotherapy services but is not a top national outlier.

The second major driver is J9312 (rituximab) with $360.3K in revenue (28.6% of Medicare revenue) and a rank of #48 of 317 nationally (85th percentile). That relative ranking suggests a stronger national standing for rituximab administration—this provider is a higher-volume participant for that drug compared with peers and likely manages a meaningful caseload of hematologic or CD20-positive malignancies.

Office evaluation and management codes are also important: 99214 accounts for $101.7K (8.1%) and ranks #8593 of 479517 (98th percentile) and 99215 accounts for $57.5K (4.6%) and ranks #2789 of 145531 (98th percentile). Both are flagged as "extreme outlier, far above typical national volume for this code," indicating this clinician bills a very high number of moderate- and high-complexity established office visits compared with national peers, consistent with ongoing management of complex oncology patients.

Chemotherapy administration CPTs such as 96413 ($42.3K, 3.4%) and related infusion/add-on codes (96417, 96415, 96401) appear throughout the top codes at typical national percentiles, supporting that the practice routinely provides infusion chemotherapy services in addition to high-cost biologic infusions. The mix of J-codes and infusion CPTs points to an infusion-centered oncology practice rather than a purely consultative role.

Several ancillary services and lab codes appear at modest revenue shares (e.g., 36415, 85025, 80053) and rank high in national percentiles for those CPTs, which is consistent with on-site blood draws and routine lab monitoring for oncology patients. These lower-dollar but frequent services reflect integrated outpatient cancer care workflows where labs and venipuncture are performed in-office or closely coordinated.

Medicare: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	13,400	$40	$576.2K
J9312	Injection, rituximab, 10 mg	5,630	$60	$360.3K
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…	1,120	$90	$101.7K
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…	430	$130	$57.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	410	$100	$42.3K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	3,560	$10	$21.4K
99205	The provider sees a new 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 provider…	110	$150	$16.2K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	110	$130	$14.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,120	$10	$8.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	1,070	$10	$8.6K

Showing 1–10 of 33

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Dennis Sanders — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

33 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	1	10	13,400	$40	$574.9K
J9312	1	10	5,290	$60	$336.2K
96413	2	10	390	$110	$34.1K
J0885	2	10	4,930	$10	$28.1K
96367	3	10	290	$20	$13.6K
J9217	1	10	100	$130	$13.3K
99214	5	960	90	$70	$10.6K
96401	3	10	140	$60	$8.9K
96365	3	10	110	$50	$8.8K
99215	4	410	40	$110	$7.2K

Showing 1–10 of 33

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Unger	VT	Hematology & Oncology Physician	$744.6K	$0
Champlain Valley Hematology Oncology, PC	VT	Hematology & Oncology Physician	$0	$455.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Northern New England, Inc	VT	Obstetrics & Gynecology Physician	$0	$3.9M
Vt Center For Dental Implants And Maxillofacial Surgery LLC	VT	Oral and Maxillofacial Surgery Clinic/Center	$0	$2.6M
Kids Rehabgym Inc.	VT	Physical Therapy Clinic/Center	$0	$2.5M
Saint Michaels College Fire And Rescue Inc	VT	Land Ambulance	$281.9K	$1.5M
Robert Duwors	VT	Clinical Psychologist	$45K	$1.1M
Town Of Colchester	VT	Land Ambulance	$163.6K	$638.6K
Vermont Center For Responder Wellness LLC	VT	Clinical Social Worker	$0	$719.1K
Actd,llc	VT	Ambulatory Surgical Clinic/Center	$634.9K	$0
Counseling Connection Training Institute, Plc	VT	Mental Health Counselor	$0	$619.8K
Nicholas Hunter	VT	Clinical Psychologist	$0	$581.2K

Dennis Sanders — Billing Profile & Reimbursement Data

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Dennis Sanders — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References