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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

John Stuart (NPI 1235195439)

Field	Value
Entity Type	Individual
Organization	John Stuart
Address	11501 Montgomery Blvd Ne
City	Albuquerque
State	NM
ZIP	87111
Taxonomy	Family Medicine Physician
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicare	$85.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	320	$80	$26.9K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	450	$40	$19.2K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1,010	$10	$11.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	$120	$8.4K
99215	The provider sees an established 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…	40	$130	$5.1K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	130	$30	$4.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	40	$80	$2.9K
99442	N/A	40	$50	$1.9K
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…	30	$60	$1.7K
95923	In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…	10	$80	$860

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

John Stuart — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95165	17	20	1,440	$10	$22.1K
99214	393	2,700	90	$70	$12.9K
G0439	189	490	50	$120	$9.7K
99490	12	140	100	$40	$8.9K
99215	407	960	40	$110	$7.8K
99213	1,797	2,440	60	$50	$7.3K
99497	40	100	30	$60	$4.3K
36415	211	360	60	$10	$3K
99439	7	80	50	$30	$3K
99442	42	150	30	$50	$2.4K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Medical Centers Of Nm, Inc.	NM	Family Medicine Physician	$0	$12.3M
Sascha Anastas	NM	Physician Assistant	$108.2K	$0
John Pope	NM	Family Nurse Practitioner	$50.3K	$0
Heather Dountas	NM	Physician Assistant	$46.4K	$0
Rachael Cunnick	NM	Physician Assistant	$44.2K	$0
Lisa Price	NM	Family Nurse Practitioner	$40.8K	$0
Rebeca Mendoza Gomez	NM	Physician Assistant	$28.8K	$0
Kristen Bushnell	NM	Surgical Physician Assistant	$16.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
After Hours Pediatrics PC	NM	Pediatrics Physician	$0	$34M
Duke City Urgent Care	NM	Urgent Care Clinic/Center	$0	$29.3M
New Pathways Inc	NM	Developmentally Disabled Services Day Training Agency	$0	$24.4M
Heartwell Services LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$22.2M
Transitional Lifestyles Community Inc.	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.7M
Michael Cito Dds LLC	NM	Pediatric Dentistry	$0	$9.9M
Epiphany Dermatology Of New Mexico, LLC	NM	Dermatology Physician	$0	$6.3M
All About You , Homehealthcare LLC	NM	Home Health Agency	$0	$5.5M
Planned Parenthood Of The Rocky Mountains, Inc	NM	Ambulatory Family Planning Facility	$0	$3.2M
Solana Care, Lc	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$3M

John Stuart — Billing Profile & Reimbursement Data

Sign up for John Stuart — Billing Profile & Reimbursement Data policy alerts

John Stuart — Billing Profile & Reimbursement Data

Sign up for John Stuart — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References