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 New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Ivan Stein (NPI 1083711469)

Field	Value
Entity Type	Individual
Organization	Ivan Stein
Address	769 Northfield Ave
City	West Orange
State	NJ
ZIP	07052
Taxonomy	General Practice Dentistry
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$132.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
21085	The provider fabricates an oral surgical splint to match the patient’s facial contours by taking an impression, or negative imprint, of the patient's face. An oral surgical splint supports a…	190	$560	$107.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	210	$70	$15.2K
99204	The 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…	60	$130	$8.6K
20605	In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…	20	$30	$650

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Ivan Stein — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
21085	1	10	120	$560	$65.1K
99213	4,045	14,090	100	$70	$13.1K
99204	1,858	7,160	40	$130	$6.5K
20605	114	220	30	$40	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barnabas Health Medical Group, PC	NJ	Specialist	$0	$39.6M
Anchor Behavioral Solutions LLC	NJ	Community/Behavioral Health Agency	$0	$27.2M
Vna Health Group Of New Jersey, LLC	NJ	Community Based Hospice Care Agency	$0	$24.5M
Premie Home Health Care Services, Inc.	NJ	Home Health Agency	$0	$12.5M
Mental Health Assn Of Essex And Morris	NJ	Case Management Agency	$0	$10.6M
Vna Health Group Of New Jersey, LLC	NJ	Home Health Agency	$0	$10.6M
Kessler Institute For Rehabilitation Inc	NJ	Rehabilitation Hospital	$0	$10.2M
Rwjbh Primary Care Services	NJ	Internal Medicine Physician	$0	$8.6M
West Orange Board Of Education	NJ	Local Education Agency (LEA)	$0	$8.2M
Maxim Healthcare Services, Inc.	NJ	Home Health Agency	$0	$8.1M

Ivan Stein — Billing Profile & Reimbursement Data

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Ivan Stein — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References