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

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

Stephen Kushner (NPI 1134104805)

Field	Value
Entity Type	Individual
Organization	Stephen Kushner
Address	726 Yorklyn Rd
City	Hockessin
State	DE
ZIP	19707
Taxonomy	Family Medicine Physician
NPI Enumerated	December 14, 2005

Payer Source	Total Paid
Medicare	$148.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	470	$130	$60.5K
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…	790	$70	$52.7K
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…	650	$50	$29.2K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	30	$130	$3.6K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	20	$110	$2.5K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	10	$40	$550
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	40	$10	$210
G0405	Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination	20	$1	$50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Stephen Kushner — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	180	1,830	150	$80	$25.5K
G0439	20	490	90	$120	$17.2K
99213	138	1,810	120	$60	$13.6K
99495	81	180	20	$130	$3.5K
G0402	18	110	20	$160	$3.1K
93010	172	230	150	$10	$1.7K
G0180	84	100	20	$40	$990
G0405	1	10	20	$1	$50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christine Herdman	DE	Gastroenterology Physician	$198K	$0
Vidyarani Subbaraya	DE	Internal Medicine Physician	$130.4K	$0
Kathleen Willey	DE	Family Medicine Physician	$128.7K	$0
Gary Beste	DE	Family Medicine Physician	$122.3K	$0
Carlos Reyes	DE	Internal Medicine Physician	$115.9K	$0
Elisabeth Walsh	DE	Family Medicine Physician	$114.9K	$0
David Trinkley	DE	Internal Medicine Physician	$114.6K	$0
Ramesh Pandit	DE	Internal Medicine Physician	$83.1K	$0
Farnaz Shahzad	DE	Internal Medicine Physician	$71.9K	$0
Stephen Duggan	DE	Family Medicine Physician	$71.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc	DE	Family Medicine Physician	$0	$5.1M
Matthews Dental Associates, PA	DE	Dentist	$0	$1.8M
Regal Heights Healthcare & Rehab Center, LLC	DE	Skilled Nursing Facility	$0	$410.3K
Mac Physicians LLC	DE	General Practice Physician	$0	$391.6K
Shabbir Naqvi	DE	Body Imaging Physician	$348.3K	$0
Alessandro Bianchi	DE	Family Medicine Physician	$302.6K	$0
Guy Webster	DE	Dermatology Physician	$283.2K	$0
Performance Physical Therapy, Inc	DE	Physical Therapy Clinic/Center	$0	$262.9K
Walgreen Co.	DE	Pharmacy	$254.9K	$0
Hockessin Fire Company	DE	Ambulance	$244.1K	$7.3K

Stephen Kushner — Billing Profile & Reimbursement Data

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Stephen Kushner — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References