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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTerry Stevenson
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    Terry Stevenson — Billing Profile & Reimbursement Data

    NPI 1184610800 · Yuma, AZ · Adult Medicine Physician

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    Terry Stevenson is a adult medicine physician provider located in Yuma, Arizona. This profile covers 35 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTerry Stevenson
    Address2503 S Avenue A Ste 2
    CityYuma
    StateAZ
    ZIP85364
    TaxonomyAdult Medicine Physician
    NPI EnumeratedSeptember 27, 2005

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the clear revenue driver: reported Total Medicare revenue is $2.6M while there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in the available claims data. The absence of any Medicaid claims suggests limited engagement with state programs or patient panels that bill through Medicaid rather than Medicare.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 33.3% of this provider’s total Medicare revenue, with the single largest code 81007 generating $346.6K (13.7%) and two additional laboratory staples 82626 and 82677 generating $298.8K (11.8%) and $198.3K (7.8%) respectively. This concentration indicates that a minority of test codes drive a third of all Medicare dollars to this NPI.

    The CPT/HCPCS mix is overwhelmingly laboratory and diagnostic testing–focused, dominated by endocrine and metabolic assays (examples include 82626, 82677, 82533, 84403, 82670) alongside high volumes of routine chemistry and hepatic panels (80047, 80076, 80048). That pattern is consistent with a practice model that emphasizes diagnostic laboratory services and frequent specimen processing rather than a pure office‑visit-based revenue structure.

    Operationally, the provider reports very high specimen handling and test volumes: 36415 had 12.1K claims with $96.7K revenue and multiple chemistry codes show ~12K claims each (e.g., 80047 $142.9K, 82533 $191.3K, 83625 $155.4K). These high claim counts for phlebotomy and routine panels suggest significant throughput of blood and urine testing, which would require substantial collection, handling, and laboratory logistics capacity.

    Competitive standing on several line items is dominant nationally: the provider ranks #1 of 173 for 81007 (100th percentile; extreme outlier), #1 of 115 for 82626 (100th percentile; extreme outlier), and #1 of 59 for 82677 (100th percentile; extreme outlier). Beyond those, a string of additional codes sit at very high national percentiles (for example, 80047 ranks #1 of 1688 and 80076 ranks #8 of 3400, both described as 100th percentile or extreme outlier), indicating this NPI is an outlier versus peers on lab volume for many assays.

    Not all service lines are similarly outsized: evaluation-and-management and device-monitoring codes appear at typical volumes — 99214 shows 357 claims with $29.6K revenue (rank #80933 of 479517, 83th percentile; typical, unremarkable) and 93229 shows 78 claims with $49.8K revenue (rank #379 of 2091, 82th percentile; typical, unremarkable). These more modest rankings for E/M and monitoring indicate the practice’s Medicare revenue profile is disproportionately lab-centric rather than encounter‑based.

    The provider’s NPI tenure is long‑standing: enumerated on 2005-09-27 (~21 years ago), which implies an established billing history that aligns with sustained high-volume lab activity rather than a recent spike. This longevity is relevant when assessing whether the lab-heavy code mix represents a persistent business model.

    From a payer and operational risk perspective, dependence on a cluster of high-volume lab codes (top 3 = 33.3% of Medicare revenue) makes the practice sensitive to reimbursement, coverage, or coding-policy changes that affect endocrine and routine chemistry testing. Analysts and contract teams should prioritize review of those high-volume codes (for example, 81007, 82626, 82677, 82533, 80047) when evaluating negotiations, utilization management, or prior‑authorization strategies for this NPI.

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81007The analyst uses a nonculture, nondipstick method to determine whether bacteriuria is present or absent. The specimen typically would be from a random urine collection.11,950$30$346.6K
    82626The lab analyst performs an analysis of dehydroepiandrosterone, known as an unconjugated form of DHEA. It is a major precursor of 17–ketosteroids, which the body forms when it breaks down certain…11,950$30$298.8K
    82677The lab analyst measures the level of estriol, a weak estrogen hormone, which is usually in high concentrations only during pregnancy.8,260$20$198.3K
    82533The lab analyst measures the amount of total cortisol in a patient specimen. Cortisol is a steroid hormone generated from the adrenal glands.11,960$20$191.3K
    83625The lab analyst measures the lactate dehydrogenase fractions, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in…11,950$10$155.4K
    80047The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…10,990$10$142.9K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.2,710$40$108.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.12,080$10$96.7K
    80076The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.11,950$10$95.6K
    82977The lab analyst measures the gamma–glutamyltransferase enzyme, typically in a serum specimen. This enzyme is elevated in conditions that affect the liver and the bile ducts, as well as primary and…11,950$10$83.7K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    826261105,070$20$131.6K
    810071104,020$30$131.1K
    826771103,670$20$89.5K
    836251105,070$10$65.5K
    841447102,450$20$39.5K
    82533130120$20$37.9K
    83970713080$40$33K
    932293618040$650$31.8K
    8267073050$30$29K
    829771203,750$10$28.9K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John SmockAZPhysician Assistant$2M$0
    Brenda EllingsonAZFamily Nurse Practitioner$1.9M$0
    Elena DobsonCAPsychiatric/Mental Health Nurse Practitioner$896.8K$0
    Christian CyrAZAcute Care Nurse Practitioner$705.3K$0
    Irfan FazilAZNephrology Physician$617.8K$330
    Aasim KamalAZOphthalmology Physician$577.1K$0
    Lillian MuzykaAZFamily Medicine Physician$532.8K$0
    Todd RunyanAZOrthopaedic Surgery Physician$103.3K$0
    Stamatia GockelAZFamily Medicine Physician$91K$0
    Daniel SchulmanAZFoot Surgery Podiatrist$86.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yuma Regional Medical CenterAZGeneral Acute Care Hospital$0$278.5M
    Sunset Community Health Center IncAZFederally Qualified Health Center (FQHC)$0$82.3M
    Saguaro FoundationAZIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$73.5M
    Community Intervention AssociatesAZCommunity/Behavioral Health Agency$0$58.9M
    Yuma Dentistry 4 Kids PLLCAZGeneral Practice Dentistry$0$16.6M
    Colorado River Behavioral Health SystemAZCommunity/Behavioral Health Agency$0$13M
    Dva Healthcare Renal Care IncAZEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$12.8M
    Easter Seals Blake FoundationAZCommunity/Behavioral Health Agency$0$12.7M
    City Of YumaAZLand Ambulance$896.2K$10.7M
    Crossroads MissionAZSubstance Abuse Rehabilitation Facility$0$11M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Terry Stevenson — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona