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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJay Stauffer
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    Jay Stauffer — Billing Profile & Reimbursement Data

    NPI 1144225756 · Fredericksburg, TX · Specialist

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    Jay Stauffer is a specialist provider located in Fredericksburg, Texas. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJay Stauffer
    Address1305 N Milam St
    CityFredericksburg
    StateTX
    ZIP78624
    TaxonomySpecialist
    NPI EnumeratedJune 20, 2005

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

    Payer SourceTotal Paid
    Medicare$271.8K
    Medicaid$0

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…170$1,010$169.8K
    99213The 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…400$70$26.2K
    36471In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…100$180$17.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…120$130$15.5K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…110$140$14.8K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…30$160$4.9K
    19083Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.10$400$4.3K
    99204The 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…40$120$4.3K
    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…30$130$3.8K
    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…50$60$3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36465811040$1,030$71.8K
    453857961,13050$280$26.4K
    9921427,84132,500110$80$17.6K
    453801891,16050$190$16.4K
    992328,40011,790100$60$15.8K
    432398601,21070$120$11.3K
    36471218050$140$10.4K
    992236,6189,99040$130$9.5K
    992132,41029,79070$60$8.4K
    992047,38616,38030$110$5.6K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alyssa RieberTXHematology & Oncology Physician$1.7M$0
    Tracy ByerlyTXOtolaryngology Physician$1.2M$0
    Celine OrdTXRadiation Oncology Physician$657.7K$0
    Kevin GallagherTXCardiovascular Disease Physician$493.2K$0
    Michael JohnsonTXInternal Medicine Physician$404.7K$0
    Peter RomanickTXOrthopaedic Surgery Physician$381.1K$0
    Michael MajorsTXDermatology Physician$378.1K$0
    Matthew HoermannTXFamily Medicine Physician$195K$0
    H-e-b, LPTXCommunity/Retail Pharmacy$184.6K$0
    Kathleen FryburgerTXPhysician Assistant$172.8K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Jay Stauffer — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas