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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Ou (NPI 1205029477)

Field	Value
Entity Type	Individual
Organization	Stephen Ou
Address	11311 Bridgeport Way Sw
City	Lakewood
State	WA
ZIP	98499
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	August 21, 2007

Payer Source	Total Paid
Medicare	$30.1K
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
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	30	$970	$25.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$100	$3.8K
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…	20	$60	$1K

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. Washington Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	1	40	20	$880	$14.1K
99213	8,864	9,690	60	$60	$6.5K
99222	389	1,690	20	$100	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$227M
Public Hospital District No 1 Of Mason County	WA	Critical Access Hospital	$0	$72.3M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$35.5M
Portland Adventist Medical Center	OR	Family Medicine Physician	$0	$12.8M
Mid-columbia Medical Center	OR	Critical Access Hospital Clinic/Center	$0	$7.4M
Portage Hospital LLC	MI	General Acute Care Hospital	$0	$5.8M
Portland Adventist Medical Center	OR	Family Medicine Physician	$0	$5.8M
Portland Adventist Medical Center	OR	Emergency Medical Services (Emergency Medicine) Physician	$0	$5M
Marcus Daly Memorial Hospital Corporation	MT	Critical Access Hospital	$0	$4.4M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$3.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Lakes Mental Health Foundation Inc	WA	Mental Illness Community Based Residential Treatment Facility	$0	$56M
Rainier Internal Medicine LLC	WA	Primary Care Clinic/Center	$164.9K	$35.1M
Saint Clare Hospital	WA	General Acute Care Hospital	$0	$30M
Pediatric Services Of America, LLC	WA	Nursing Care Agency	$0	$22.4M
Capstone Medical LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$20.7M
Chen And Su, Ps	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$6.3M
Wchs Inc	WA	Methadone Clinic	$171.3K	$6M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Thi Nguyen	WA	General Practice Dentistry	$0	$3.7M
Asian American Chemical Dependency Treatment Services	WA	Community/Behavioral Health Agency	$0	$3.5M

Stephen Ou — Billing Profile & Reimbursement Data

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Stephen Ou — 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