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    v1.0.28
    OpenPayerNPI Medicare & MedicaidErsie Stevens
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    Ersie Stevens — Billing Profile & Reimbursement Data

    NPI 1063714004 · Kettering, OH · Anatomic Pathology & Clinical Pathology Physician

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    Ersie Stevens is a anatomic pathology & clinical pathology physician provider located in Kettering, Ohio. This profile covers 26 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationErsie Stevens
    Address3535 Southern Blvd
    CityKettering
    StateOH
    ZIP45429
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedNovember 24, 2010

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

    Payer SourceTotal Paid
    Medicare$108.6K
    Medicaid$540

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,190$30$33.2K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…570$20$13.7K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…210$60$12.9K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…360$30$10.5K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method20$240$5.3K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…170$20$3.6K
    88311The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.360$10$3.3K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…110$30$3.2K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…60$50$2.8K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.50$50$2.8K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830598560470$40$39.2K
    8834144440200$30$8K
    8633433100110$20$7.6K
    8416541120130$10$6K
    8834233460100$40$5.6K
    883071137080$60$5.3K
    8831212223040$50$5.3K
    G04164812020$160$5.2K
    881737421040$60$2.9K
    8831319623070$20$2.6K

    Showing 1–10 of 26

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…30$20$550

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Ohio median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…3083401,220$30$186.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul SagermanAZAnatomic Pathology Physician$707.9K$54.1K
    Sam NassarOHAnatomic Pathology & Clinical Pathology Physician$406.5K$42.1K
    Niaz UsmanOHGastroenterology Physician$208.8K$0
    Angie ElsheikhOHAnatomic Pathology & Clinical Pathology Physician$179K$880
    Geoffrey HahmOHAnatomic Pathology & Clinical Pathology Physician$170.6K$570
    Scott ArnoldOHAnatomic Pathology & Clinical Pathology Physician$169.2K$680
    Yvonne DowdyOHAnatomic Pathology & Clinical Pathology Physician$143.1K$0
    David MyersOHGastroenterology Physician$125.9K$0
    Jason MeyerOHAnatomic Pathology & Clinical Pathology Physician$124.2K$0
    Rizwan KibriaOHGastroenterology Physician$120.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$38M
    Kav Health Group LLCOHMental Health Clinic/Center (Including Community Mental Health Center)$0$24.6M
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$20.7M
    Kettering Network Radiologists IncOHDiagnostic Radiology Physician$0$16.1M
    Assisted Care By Black Stone Of Dayton, LLCOHHome Health Agency$0$12.4M
    City Of KetteringOHAmbulance$431.8K$1.1M
    Shahzad FarukhiOHInternal Medicine Physician$69.3K$1.4M
    Eugene KirklandOHDermatology Physician$1.3M$0
    Phillip HallOHMOHS-Micrographic Surgery Physician$651.7K$0
    Jason BallinOHDermatology Physician$578.9K$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. Ohio Distribution
    Ersie Stevens — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Ersie Stevens — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio