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

Why is the Medicaid comparison limited to Maine 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. Maine (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.

Stacy Diperna (NPI 1114103215)

Field	Value
Entity Type	Individual
Organization	Stacy Diperna
Address	25 June St
City	Sanford
State	ME
ZIP	04073
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	January 18, 2008

Payer Source	Total Paid
Medicare	$10.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	80	$60	$4.6K
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…	50	$40	$2.1K
52310	The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…	20	$100	$1.8K
99203	The provider sees a new 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 provider…	20	$50	$930
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$70	$860

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Stacy Diperna — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,130	2,500	70	$70	$7.2K
99215	735	780	30	$100	$4.8K
99213	1,171	2,350	50	$50	$4.3K
99203	385	620	30	$60	$2.4K
52310	4	10	20	$120	$2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waypoint Maine, Inc.	ME	Case Management Agency	$0	$110.5M
Great Bay Services	ME	Developmental Disabilities Clinic/Center	$0	$7.1M
Milestones Family Services, LLC	ME	Case Management Agency	$0	$2.8M
City Of Sanford	ME	Land Ambulance	$277.3K	$1.8M
Montshire Sanford PC	ME	Pediatric Dentistry	$0	$1.4M
Great Bay Services	ME	Developmental Disabilities Clinic/Center	$0	$824.9K
Philip Russell	ME	Psychiatry Physician	$14.5K	$720.3K
City Of Sanford	ME	Local Education Agency (LEA)	$0	$733.4K
Associated Eye Care, P.A.	ME	Optometrist	$0	$687.3K
Children's Dentistry Of Sanford, LLP	ME	Pediatric Dentistry	$0	$673.4K

Stacy Diperna — Billing Profile & Reimbursement Data

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Stacy Diperna — 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