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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Mark Hippenstiel (NPI 1265497838)

Field	Value
Entity Type	Individual
Organization	Mark Hippenstiel
Address	534 Caratoke Hwy
City	Moyock
State	NC
ZIP	27958
Taxonomy	Family Medicine Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicare	$119.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	520	$120	$60.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	210	$140	$30.2K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	1,010	$20	$23.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	60	$80	$5.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Mark Hippenstiel — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	705	900	260	$70	$31.2K
99306	47	380	50	$130	$12.7K
99310	16	470	50	$100	$10.5K
G0317	1	40	90	$20	$3.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient First Richmond Medical Group PLLC	VA	Family Medicine Physician	$0	$75.4M
Patient First Richmond Physician's Group PC	VA	Urgent Care Clinic/Center	$0	$11.1M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$11M
Anne Arundel Dermatology LLC	MD	Dermatology Physician	$0	$7.3M
Arijit Chanda	VA	Interventional Cardiology Physician	$571.6K	$0
James Danner	VA	Family Medicine Physician	$526.1K	$1.9K
William Reed	VA	Family Medicine Physician	$455.1K	$280
David Eki	VA	Family Medicine Physician	$424.9K	$0
Altory Miranda	VA	General Practice Physician	$407.1K	$3.9K
Rahul Sawlani	WI	Diagnostic Radiology Physician	$329.3K	$29.7K

Mark Hippenstiel — Billing Profile & Reimbursement Data

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Mark Hippenstiel — 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

Frequently Asked Questions

References