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    OpenPayerNPI Medicare & MedicaidSarah Baumgartner
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    Sarah Baumgartner — Billing Profile & Reimbursement Data

    NPI 1992086748 · Green Bay, WI · Psychologist

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    Sarah Baumgartner is a psychologist provider located in Green Bay, Wisconsin. This profile covers 9 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
    OrganizationSarah Baumgartner
    Address301 E Saint Joseph St
    CityGreen Bay
    StateWI
    ZIP54301
    TaxonomyPsychologist
    NPI EnumeratedSeptember 7, 2011

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

    Payer SourceTotal Paid
    Medicare$32.5K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96133The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…130$70$9.4K
    96139A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.330$30$8.4K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…60$90$5.2K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…60$70$4K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.10$130$1.7K
    96138A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.50$30$1.3K
    96130The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…10$90$1.2K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…20$30$700
    96121A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for each additional hour of face–to–face…10$60$640

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96133146080$70$6K
    96132297050$90$4.9K
    96139540180$30$4.9K
    96116166040$60$3.1K
    9079113819020$110$2.5K
    9613081020$90$2.5K
    96121121030$50$1.8K
    96138224050$30$1.3K
    96136194020$20$900

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Froedtert Memorial Lutheran Hospital, Inc.WIGeneral Acute Care Hospital$0$157.8M
    Wisconsin Diagnostic Laboratories LLCWIClinical Medical Laboratory$2.3M$22.7M
    Unity Limited PartnershipWICommunity Based Hospice Care Agency$0$16.2M
    Community Memorial Hospital Of Menomonee Falls IncWIGeneral Acute Care Hospital$0$10M
    St. Josephs Community Hospital Of West Bend Inc.WIGeneral Acute Care Hospital$0$5.8M
    Holy Family Memorial IncWIGeneral Acute Care Hospital$0$5M
    Kevan LewisWIMOHS-Micrographic Surgery Physician$1.2M$0
    Riley SmythWIDiagnostic Radiology Physician$805.1K$320
    Terence RyanMIFamily Medicine Physician$441.3K$0
    Aaron GouldILDiagnostic Radiology Physician$126.2K$209.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bellin Memorial Hospital Inc.WIGeneral Acute Care Hospital$0$29.2M
    Bellin Memorial Hospital IncWIFamily Medicine Physician$0$19.8M
    St Vincent Hospital-hospital Sisters-third Order Of St FrancisWIGeneral Acute Care Hospital$0$19.6M
    County Of BrownWICommunity/Behavioral Health Agency$0$12.8M
    Hha Of Wisconsin, LLCWIHome Health Agency$0$5.6M
    City Of Green Bay Office Of ComptrollerWILand Ambulance$613K$3.7M
    Bellin Psychiatric Center Inc.WIMental Health Clinic/Center (Including Community Mental Health Center)$0$4.1M
    Cerebral Palsy, Inc.WIRehabilitation Clinic/Center$0$4M
    Innovative Wisconsin, LLCWICommunity/Behavioral Health Agency$0$3.8M
    Almost Family Personal Care, LLCWINursing Care Agency$0$3.1M

    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. Wisconsin Distribution
    Sarah Baumgartner — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin