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    OpenPayerNPI Medicare & MedicaidDaniel Stone
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    Daniel Stone — Billing Profile & Reimbursement Data

    NPI 1225357395 · Phoenix, AZ · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Daniel Stone is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Phoenix, Arizona. This profile covers 29 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
    OrganizationDaniel Stone
    Address1616 E Maryland Ave
    CityPhoenix
    StateAZ
    ZIP85016
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedMay 27, 2010

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

    Payer SourceTotal Paid
    Medicare$146K
    Medicaid$0

    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.

    29 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…230$70$15.6K
    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…30$420$12.7K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…40$280$12.1K
    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…20$710$11.3K
    J0585Injection, onabotulinumtoxina, 1 unit2,100$10$10.5K
    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…30$330$10.4K
    57283The provider pulls up the vaginal vault that is prolapsing using a vaginal approach and attaches it to a ligament inside the peritoneal lining.40$280$10K
    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…70$120$9.1K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…50$160$8.2K
    57265In this procedure, the vaginal walls that hold the bladder, the rectum and the small bowel in place are weak, and the provider must repair the areas in the wall to support these structures with…20$390$7.9K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585961109,070$1$62.1K
    52000192200110$160$22.7K
    992146,98610,410120$80$20.6K
    57265122030$550$19.7K
    5726041030$380$12.8K
    5728853020$540$11.9K
    52287213030$330$11.7K
    51729125030$280$10.6K
    5826221020$580$10.5K
    992131,9209,60080$60$9.6K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shazia MalikAZGynecology Physician$87.3K$0
    Paul MarshburnAZUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$72.8K$0
    Felipe VidelaAZUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$62.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phoenix Children's HospitalAZChildren's Hospital$0$555.8M
    Instant Care Of ArizonaAZHome Health Agency$0$230.5M
    Phoenix Children's HospitalAZPediatrics Physician$0$162.4M
    Bethany Ranch Home, IncAZIntellectual Disabilities Intermediate Care Facility$0$74.4M
    Creative Innervisions LLCAZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$29.7M
    Stellar Home Health, LLCAZIn Home Supportive Care Agency$0$29.4M
    Crossroads, IncAZSubstance Abuse Rehabilitation Facility$0$23.9M
    Thomas Road Senior Housing, Inc.AZAssisted Living Facility$0$19.2M
    Anod Care Services,incAZBehavior Analyst$0$14.2M
    National Council On Alcoholism Greater Phoenix AreaAZMental Health Clinic/Center (Including Community Mental Health Center)$0$13.5M

    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
    Daniel Stone — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona