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    OpenPayerNPI Medicare & MedicaidBruce Stoops
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    Bruce Stoops — Billing Profile & Reimbursement Data

    NPI 1073738324 · Quincy, IL · Hospice and Palliative Medicine (Family Medicine) Physician

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    Bruce Stoops is a hospice and palliative medicine (family medicine) physician provider located in Quincy, Illinois. This profile covers 10 Medicare and 3 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
    OrganizationBruce Stoops
    Address927 Broadway St Ste 106
    CityQuincy
    StateIL
    ZIP62301
    TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
    NPI EnumeratedApril 13, 2007

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

    Payer SourceTotal Paid
    Medicaid$204.4K
    Medicare$53.9K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…90$140$12.7K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…150$60$9.2K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.40$140$6.2K
    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…100$60$6.2K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…60$100$5.8K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…50$80$3.9K
    99498The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…50$60$3K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.30$80$2.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$2.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$100$1.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993091,1111,400180$80$29.5K
    992852,1352,640130$140$23.1K
    99349472730100$90$20.7K
    992335,4865,990100$100$18.7K
    992323,8227,96090$60$12.4K
    992231,6096,19050$140$10.4K
    992842,0792,67070$90$7.3K
    9949715297050$60$5.5K
    992223,5525,73030$100$5.3K
    9949894030$50$2.1K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.1,640$60$98.3K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.1,990$50$97.3K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.310$30$9.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.6172,480760$90$102K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.5542,920770$60$75.8K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.1,7062,840500$40$37.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Blessing HospitalILRural Health Clinic/Center$0$5.1M
    Blessingcare CorporationILRural Health Clinic/Center$0$2.9M
    Brenda EllingsonAZFamily Nurse Practitioner$1.9M$0
    Raymond SmithILHematology & Oncology Physician$1.5M$54.4K
    Joseph JudgeILDiagnostic Radiology Physician$395.1K$998.5K
    Muhammad AliILHematology & Oncology Physician$1.2M$64.9K
    Travis MooreILFamily Medicine Physician$1.2M$15.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quincy Physicians & Surgeons Clinic, PLLCILRural Health Clinic/Center$0$21.3M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$9.4M
    Quincy Physicians & Surgeons Clinic, PLLCILClinical Medical Laboratory$1.6M$4.1M
    International Eyecare Center LLCILOptometrist$0$3.6M
    Denman Services, Inc.ILDurable Medical Equipment & Medical Supplies$0$2.9M
    Quincy Physicians & Surgeons Clinic, PLLCILAmbulatory Surgical Clinic/Center$2.5M$0
    Abram GeisendorferILOphthalmology Physician$1.8M$116.2K
    Robert HaagILDiagnostic Radiology Physician$946.5K$416.5K
    Gerald RileyILDiagnostic Radiology Physician$816.6K$285.5K
    Air Evac Ems Inc.ILAir Ambulance$823.9K$37.7K

    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. Illinois Distribution
    Bruce Stoops — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Bruce Stoops — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois