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    OpenPayerNPI Medicare & MedicaidWilliam Stuart
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    William Stuart — Billing Profile & Reimbursement Data

    NPI 1053398032 · St Louis Park, MN · Nephrology Physician

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    William Stuart is a nephrology physician provider located in St Louis Park, Minnesota. This profile covers 16 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
    OrganizationWilliam Stuart
    Address3931 Louisiana Ave S
    CitySt Louis Park
    StateMN
    ZIP55426
    TaxonomyNephrology Physician
    NPI EnumeratedDecember 29, 2005

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

    Payer SourceTotal Paid
    Medicare$107.8K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…210$260$53.1K
    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…130$90$12.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…190$60$11.3K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…50$230$11.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$130$7K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…110$50$5.7K
    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…30$110$2.7K
    90945The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.40$60$2.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.160$10$1.3K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…40$10$350

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960660100$270$28.6K
    909617110080$220$21.7K
    992142,56210,10070$80$8.1K
    992323983,64060$60$5.2K
    992234342,36030$130$5K
    992041,4823,34020$110$3.6K
    9094551040$70$3.1K
    909352013050$50$3K
    364159033,48080$10$1.5K
    850251,0631,60030$10$980

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Park Nicollet ClinicMNFamily Medicine Physician$0$210M
    Group Health, Inc.MNMulti-Specialty Clinic/Center$0$204M
    Regions HospitalMNGeneral Acute Care Hospital$0$44.4M
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Saint Joseph Mercy Livingston HospitalMIGeneral Acute Care Hospital$0$18.3M
    Park Nicollet Methodist HospitalMNGeneral Acute Care Hospital$0$17.2M
    Group Health, Inc.MNMulti-Specialty Clinic/Center$0$14.8M
    Group Health, Inc.MNClinical Medical Laboratory$2.4M$11.5M
    Group Health, Inc.MNMulti-Specialty Clinic/Center$0$13M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Care Clinics, LLCMNPsychologist$0$13.9M
    Por, LLCMNCase Management Agency$0$10.9M
    Medway Support Services. LLCMNHealth Maintenance Organization$0$10.2M
    Hoy & Associates Inc.MNCommunity/Behavioral Health Agency$0$9.5M
    Behavioral Dimensions, Inc.MNCognitive & Behavioral Psychologist$0$8.6M
    Kaire LLCMNCommunity/Behavioral Health Agency$0$8.2M
    Sholom Community Alliance Home Health CareMNHome Health Agency$0$6.7M
    Melissa ShermanMNInternal Medicine Physician$625.1K$0
    Turang BehbahaniMNHematology & Oncology Physician$613.9K$0
    Karen RabenauMNHematology & Oncology Physician$312.7K$0

    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. Minnesota Distribution
    William Stuart — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota