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    OpenPayerNPI Medicare & MedicaidStephanie Hodson
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    Stephanie Hodson — Billing Profile & Reimbursement Data

    NPI 1265478374 · Meridian, ID · Hematology & Oncology Physician

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    Stephanie Hodson is a hematology & oncology physician provider located in Meridian, Idaho. This profile covers 40 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
    OrganizationStephanie Hodson
    Address2855 E Magic View Dr
    CityMeridian
    StateID
    ZIP83642
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 20, 2006

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

    Payer SourceTotal Paid
    Medicare$477.8K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is the only payer volume on file: total Medicare revenue is $477.8K and there is no Medicaid billing on file, so operations appear effectively single‑payer with Medicare as the primary revenue source. That concentration will matter for network negotiations and risk attribution because there is no Medicaid offset or diversification evident in the claims data.

    Revenue is heavily concentrated in a small number of codes: the top three Medicare codes (J0897, Q5122, 99214) account for 62.9% of total Medicare revenue. Individually those codes contribute 38.1% (J0897), 16.0% (Q5122), and 8.8% (99214), indicating the practice derives the majority of its Medicare dollars from a few high‑use biologic injections and office E/M visits.

    The code mix (high volumes of J0897 and Q5122 plus chemotherapy and E/M codes) signals an oncology practice focused on in‑office biologic/supportive injections and outpatient management. Supporting details include 96413 (chemotherapy) with 297 claims and $26.4K revenue (5.5% of Medicare revenue) and M0010 (EOM monthly enhanced oncology services) with 181 claims and $13K revenue (2.7%), which together point to a combined infusion/care management operation rather than a pure procedural or inpatient practice.

    For its top injectable, J0897 (denosumab), the provider reports 10.1K claims and $181.4K revenue (38.1% of Medicare revenue) and ranks #1129 of 10057 providers nationally (89th percentile; typical, unremarkable volume for this code). This places the provider above the median national peer for denosumab administration but still within the dataset’s characterization of a typical, unremarkable volume profile rather than as a national outlier or dominant provider.

    The provider’s use of Q5122 (pegfilgrastim‑apgf biosimilar) is comparatively concentrated: 840 claims, $76.4K revenue (16.0% of Medicare revenue), ranking #22 of 239 providers nationally (91th percentile; typical, unremarkable volume for this code). That rank indicates a relatively high standing among peers who bill this biosimilar, reinforcing a focus on supportive oncology care products within the practice mix.

    E/M and chemotherapy activity appear above average relative to national peers but still described as typical: 99214 (476 claims, $41.9K revenue, 8.8% of Medicare revenue) ranks #52974 of 479517 providers (89th percentile; typical, unremarkable volume) and 96413 (297 claims, $26.4K revenue) ranks #1871 of 7514 providers (75th percentile; typical, unremarkable volume). These positions suggest steady outpatient oncology follow‑up and treatment throughput rather than anomalous billing patterns.

    There is one clear statistical signal of higher than typical volume: 96402 (subcutaneous/intramuscular hormonal anti‑neoplastic administration) has 130 claims and $2.6K revenue (0.5% of Medicare revenue) and ranks #343 of 4765 providers nationally (93th percentile; notably above typical national volume). That elevated rank for 96402 suggests a specific procedural niche (subcutaneous hormonal anti‑neoplastic therapy) where this provider is materially more active than most peers.

    Operationally, the dataset shows very high claim counts for some J‑codes but low average paid amounts per claim, for example J0897 (10.1K claims; $18 avg paid/claim) and J9171 (6.8K claims; $1 avg paid/claim with $6.8K revenue). This pattern implies that overall revenue is driven by large administration volumes of lower‑unit‑priced drugs and biologics rather than by a small number of very high‑paid per‑claim services, which has implications for inventory, billing oversight, and supplier contracting.

    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg10,080$20$181.4K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg840$90$76.4K
    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…480$90$41.9K
    99215The 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…220$130$28.3K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…300$90$26.4K
    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…370$60$21.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg140$140$19.4K
    M0010Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services180$70$13K
    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…60$150$9.2K
    J9171Injection, docetaxel, 1 mg6,780$1$6.8K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q5122110840$90$76.4K
    J08973302,580$20$76.2K
    96413720250$90$26K
    J9217510130$130$19K
    992141582,69090$70$10.4K
    M0010110120$70$8.7K
    96365122080$40$7.4K
    9641731070$50$6.7K
    992154681040$100$6.5K
    J01851104,750$1$6.5K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ali Torab ParhizIDOphthalmology Physician$4.3M$7.8K
    Arvind ChaudhryWAHematology & Oncology Physician$2.9M$0
    Mirela AndreiWAMedical Oncology Physician$1M$0
    Karie-lynn KellyWARadiation Oncology Physician$1M$0
    Myles MitsunagaCADiagnostic Radiology Physician$510.8K$113.9K
    Norman WillisIDRadiation Oncology Physician$573.4K$0
    Hugh McswainCANeuroradiology Physician$235.3K$292.6K
    Ravi RajpootMDDiagnostic Radiology Physician$123K$316.3K
    St Alphonsus Professional Medical Services LLCIDAnesthesiology Physician$0$407.2K
    Sean CreedenILNeuroradiology Physician$98.7K$252.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Norco, Inc.IDDurable Medical Equipment & Medical Supplies$0$41M
    Joint School District No. 2IDLocal Education Agency (LEA)$0$34.2M
    Chatterbox Speech & Language CenterIDSpeech-Language Pathologist$0$10.6M
    St. Fillan's, LLCIDIn Home Supportive Care Agency$0$10.5M
    Southern Idaho Health Partners LLCIDGeneral Practice Physician$0$9.2M
    Gem State Developmental Center LLCIDDevelopmentally Disabled Services Day Training Agency$0$9.1M
    Addus Healthcare, Inc.IDIn Home Supportive Care Agency$0$6.1M
    Northwest Neurobehavioral Health, LLCIDClinical Social Worker$0$5.2M
    Idaho Pediatric Therapy Clinic PLLCIDPhysical Therapist$0$3.1M
    Cpapnow IncIDDurable Medical Equipment & Medical Supplies$0$3.1M

    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. Idaho Distribution
    Stephanie Hodson — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho