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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Edington (NPI 1144690967)

Field	Value
Entity Type	Individual
Organization	Stephen Edington
Address	82 Patton Ave
City	Asheville
State	NC
ZIP	28801
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	October 6, 2015

Payer Source	Total Paid
Medicare	$45.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01844	The provider performs anesthesia services for a patient undergoing a vascular shunt procedure, or shunt revision of any type, such as for dialysis.	290	$140	$41.9K
01916	The provider performs anesthesia services for a patient undergoing diagnostic arteriography or venography.	20	$120	$2K
00532	The provider performs anesthesia services for the procedure of accessing central venous circulation, which refers to the major veins draining blood into the heart. Another provider may use this…	10	$120	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Stephen Edington — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01844	1	50	20	$110	$3.4K
01916	2	10	20	$120	$2.4K
00532	16	30	10	$70	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Javid Baksh	NC	Pain Medicine (Anesthesiology) Physician	$869.7K	$4.2K
Courtney Auman	NC	Pain Medicine Physician	$395.2K	$2.9K
Ryan Hill	SC	Anesthesiology Physician	$373.4K	$0
Jose Avila Calles	NC	Anesthesiology Physician	$354.6K	$0
Kirk Harum	NC	Pain Medicine (Anesthesiology) Physician	$337.9K	$790
Benjamin Wall	NC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$318.5K	$0
Zachary Kitchen	NC	Pain Medicine (Anesthesiology) Physician	$301.2K	$290
Peter Gemelli	NC	Physical Medicine & Rehabilitation Physician	$292.8K	$0
Angelo Tellis	NC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$265.6K	$430

Stephen Edington — Billing Profile & Reimbursement Data

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Stephen Edington — 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

Frequently Asked Questions

References