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 Wright (NPI 1164406542)

Field	Value
Entity Type	Individual
Organization	Stephen Wright
Address	Medical Center Blvd
City	Winston Salem
State	NC
ZIP	27157
Taxonomy	Otolaryngology Physician
NPI Enumerated	November 30, 2005

Payer Source	Total Paid
Medicare	$67.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31579	The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…	230	$90	$19.2K
64617	The provider performs percutaneous chemodenervation of the larynx on one side, which may be guided by needle electromyography.	150	$110	$15.8K
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…	190	$50	$9.2K
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…	70	$90	$6.4K
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…	70	$70	$4.7K
31541	The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of an abnormal mass of tissues in the voice box of the patient. He may remove the…	20	$200	$3.5K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	50	$50	$2.7K
31571	The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of any abnormalities. The provider then injects a therapeutic agent into the one or…	20	$110	$2.6K
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	$60	$1.5K
43499	Use 43499 to report new or unusual procedures on the esophagus that do not have an assigned code.	10	$90	$1.1K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Stephen Wright — 2 of 11 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,929	18,060	110	$80	$15.1K
31579	3	20	60	$140	$13.9K
64617	1	10	40	$140	$9K
99213	3,174	16,320	70	$50	$7.1K
31575	106	260	50	$80	$5K
99204	1,601	8,430	30	$110	$4.8K
31541	1	10	20	$180	$3.1K
99203	3,109	5,450	30	$70	$3.1K
31571	1	10	20	$120	$1.9K
43499	2	10	20	$90	$1.8K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wake Forest University Health Sciences	NC	Multi-Specialty Clinic/Center	$0	$188.2M
North Carolina Baptist Hospital	NC	General Acute Care Hospital	$0	$138.4M
Wake Air Care LLC	NC	Air Ambulance	$2.5M	$2.4M
Vishak John	NC	Ophthalmology Physician	$4.3M	$0
Thomas Williamson	NC	Hematology & Oncology Physician	$2.4M	$0
Omar Sangueza	NC	Dermatopathology (Pathology) Physician	$810.1K	$0
Jennifer Stanislaus	NC	Anesthesiology Physician	$557.1K	$0
Thomas Sullivan	NC	Diagnostic Radiology Physician	$18.9K	$393.7K
Rajiv Shah	NC	Ophthalmology Physician	$328.3K	$0
Bradley Unruh	NC	Diagnostic Radiology Physician	$279.6K	$0

Stephen Wright — Billing Profile & Reimbursement Data

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Stephen Wright — 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