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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Adam Stys (NPI 1083656821)

Field	Value
Entity Type	Individual
Organization	Adam Stys
Address	1305 W 18th St
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicare	$480.6K
Medicaid	$0

Key Findings

ADAM STYS is effectively a Medicare-focused interventional cardiology practice: lifetime Medicare revenue is $480.6K while there is no Medicaid billing on file, so this NPI functions as a single-payer (Medicare) billing entity in the available data. The absence of any Medicaid claims suggests either the provider does not serve Medicaid populations or bills Medicaid under a different NPI or group practice.

Revenue concentration is meaningful: the precomputed top 3 Medicare codes account for 42.7% of this provider's total Medicare revenue, indicating a reliance on a small set of high-revenue services. Those top codes include high-volume echocardiography and E/M codes plus a PCI/stent code, so a few procedures and visits drive nearly half of Medicare receipts.

The code mix points to a hybrid interventional and diagnostic cardiology operation: high revenue and volumes on 93306 (transthoracic echocardiography), 99214 (established outpatient E/M), and 92928 (percutaneous coronary intervention with stent) indicate the provider offers both noninvasive imaging and invasive coronary interventions. Additional procedural codes — 93458 and 93454 for coronary angiography imaging supervision, and TAVR and left atrial appendage closure codes (33361, 33340) — reinforce a practice that performs or supervises advanced catheter-based procedures.

On competitive standing, ADAM STYS is an outlier on several codes nationally. For example, 93306 ranks #67 of 24624 providers (100th percentile; extreme outlier) and 92928 ranks #51 of 5112 providers (99th percentile; extreme outlier), meaning this clinician bills far above typical national volumes for core imaging and interventional codes. Similarly, high national percentile placements for codes like 93458, 78452, and 93016 (each noted as extreme outlier or far above typical) indicate unusually high throughput or specialization relative to national peers.

Other evaluation-and-management and inpatient codes show notable but more typical volumes: 99214 (946 claims) ranks in the 97th percentile nationally (notably above typical national volume) and several inpatient E/M codes like 99232 and 99222 rank in the 92nd and 98th percentiles respectively. This pattern suggests significant outpatient clinic volume coupled with hospital inpatient care, consistent with a cardiologist who manages both clinic visits and admitted patients.

Procedure mix includes high-acuity, device and imaging services: the provider bills advanced device implantation and structural heart codes such as 33361 (TAVR) and 33340 (LAA closure), and remote device and monitoring codes (93294, 93272, 93227, 93280) at meaningful volumes. Those device/monitoring codes generally fall in typical-to-high percentiles and indicate ongoing ownership of device follow-up and remote monitoring responsibilities within the practice.

Tenure in the Medicare program is long-standing: this NPI was enumerated on 2006-06-12 (about 20 years ago), supporting the interpretation that current billing patterns reflect an established practice rather than a recent entrant. Long tenure plus the high-percentile procedure volumes point to an experienced interventional cardiology practice with sustained case mix.

Statistical outlier signals are frequent across modalities: multiple codes are explicitly labeled as “extreme outlier” or “far above typical national volume” (including 93306, 92928, 93458, 78452, 93016, 93308, 93227, 93272, and 93018). These repeated outlier designations across imaging, interventional, stress testing, and monitoring codes reinforce that the provider’s Medicare activity is concentrated and elevated across several related service lines rather than in a single isolated code.

Medicare: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,540	$50	$75.4K
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…	950	$70	$70K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	130	$400	$52.5K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	180	$190	$33.5K
99232	The 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…	540	$60	$32.3K
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	50	$550	$26.7K
33340	The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…	40	$570	$25.1K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	450	$60	$24.9K
99222	The 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…	220	$100	$21.4K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	630	$20	$12.5K

Showing 1–10 of 35

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Adam Stys — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

35 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33361	7	10	60	$540	$30K
92928	2	20	70	$380	$27.7K
93306	1	60	250	$50	$21.4K
33340	2	10	40	$470	$16.1K
93458	1	30	40	$180	$11.9K
99214	18	1,660	90	$70	$11.4K
99233	212	290	60	$90	$10.8K
99232	26	570	80	$60	$9.2K
78452	2	40	140	$60	$8.6K
93294	7	20	310	$20	$8.2K

Showing 1–10 of 35

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Medical Center	SD	General Acute Care Hospital	$0	$24.4M
Sanford Medical Center	SD	Clinical Medical Laboratory	$1.8M	$18M
Sanford Medical Center	SD	Air Ambulance	$0	$11.9M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Sanford Health Network	MN	Rural Acute Care Hospital	$0	$7.6M
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Sanford Health Network	IA	Family Medicine Physician	$0	$6.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Dakota Achieve	SD	Developmental Disabilities Clinic/Center	$0	$166.9M
Dakotabilities	SD	Voluntary or Charitable Agency	$0	$77.8M
Volunteers Of America, Dakotas	SD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Southeastern Behavioral Healthcare	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$59.1M
Resouces For Human Development, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$31.1M
Childrens Dental Center	SD	Pediatric Dentistry	$0	$24M
Avera Mckennan	SD	Family Medicine Physician	$0	$10.6M
Sanford Clinic	SD	Pediatrics Physician	$0	$5.5M
Avera Mckennan	SD	Air Ambulance	$0	$5.3M
Avera Mckennan	SD	Emergency Medicine Physician	$0	$4.1M

Adam Stys — Billing Profile & Reimbursement Data

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Adam Stys — 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