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    OpenPayerNPI Medicare & MedicaidStephen Portera
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    Stephen Portera — Billing Profile & Reimbursement Data

    NPI 1205803608 · Memphis, TN · Urology Physician

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    Stephen Portera is a urology physician provider located in Memphis, Tennessee. This profile covers 23 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Portera
    Address6215 Humphreys Blvd Ste 110
    CityMemphis
    StateTN
    ZIP38120
    TaxonomyUrology Physician
    NPI EnumeratedMarch 3, 2006

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

    Payer SourceTotal Paid
    Medicare$256.7K
    Medicaid$130

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,070$60$59K
    99214The 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…650$90$56.2K
    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…250$110$26.6K
    58262In this procedure, the provider surgically removes the uterus, cervix, fallopian tubes, and ovaries using a vaginal approach, known as a vaginal hysterectomy. The uterus is normal in size, which…30$660$21.9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…90$170$14.7K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…40$360$13.2K
    51725A cystometer measures the bladder's capacity, or bladder pressure. It evaluates the contraction and expulsion activities of the bladder, and is used to diagnose certain urinary disorders.100$110$10.4K
    51701In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…360$30$10.3K
    57283The provider pulls up the vaginal vault that is prolapsing using a vaginal approach and attaches it to a ligament inside the peritoneal lining.30$320$9.5K
    57260The provider repairs the vaginal tissues over the weakened spots to support the area and return the bladder and rectum to their correct positions.  This is a vaginal approach procedure. The provider…20$330$6.8K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5826211030$660$21.9K
    9921472411,370120$80$16.6K
    520009720090$140$15.5K
    5171552020$710$13.6K
    52287323030$290$13K
    5728822020$610$11.6K
    992139611,03080$50$8K
    5724031010$370$7.8K
    5726011020$480$7.7K
    5725081020$300$6.3K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10$10$120
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…40$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4,0024,050620$30$183.9K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…420560230$1$2.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital-desoto, Inc,MSGeneral Acute Care Hospital$0$41.6M
    Baptist Memorial Medical Group IncTNInternal Medicine Physician$0$35.6M
    Baptist Minor Medical Centers IncTNInternal Medicine Physician$0$3M
    George WoodmanTNSurgery Physician$1.1K$2.3M
    Brett LamptonMSInternal Medicine Physician$448.6K$103.5K
    Lora PomykalaTNInternal Medicine Physician$507.5K$0
    Kelechi IwujiTNInternal Medicine Physician$496.4K$0
    Brandon GarrigaMSPulmonary Disease Physician$491.8K$0
    Mark CastellawTNInternal Medicine Physician$485.9K$0
    James WilliamsMSCardiovascular Disease Physician$411.3K$67K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial HospitalTNGeneral Acute Care Hospital$0$51.4M
    East Memphis Neonatology Associates P.CTNNeonatal-Perinatal Medicine Physician$0$20.7M
    Semmes-murphey Clinic PCTNAmbulatory Surgical Clinic/Center$4.1M$11K
    Lebonheur East Surgery Center Ii LPTNAmbulatory Surgical Clinic/Center$0$3M
    Ridge Lake Asc, LLCTNOphthalmologic Surgery Clinic/Center$2.4M$390.5K
    Vrf Eye Specialty Group, PlcTNOphthalmology Physician$0$2.5M
    Gastrointestinal Specialists Foundation, IncTNGastroenterology Physician$0$2.5M
    Otolaryngology Consultants Of Memphis, P.C.TNSpecialist$0$2.1M
    Obgyn Consultants Of MemphisTNObstetrics & Gynecology Physician$0$2.1M
    Mays & Schnapp Pain Clinic & Rehabilitation CenterTNAmbulatory Surgical Clinic/Center$1.5M$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.

    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. Tennessee Distribution
    Stephen Portera — 9 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Stephen Portera — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee