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    Eric Stone — Billing Profile & Reimbursement Data

    NPI 1285674523 · Knoxville, TN · Nurse Practitioner

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    Eric Stone is a nurse practitioner provider located in Knoxville, Tennessee. This profile covers 5 Medicare and 7 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
    OrganizationEric Stone
    Address7424 Middlebrook Pike
    CityKnoxville
    StateTN
    ZIP37909
    TaxonomyNurse Practitioner
    NPI EnumeratedJune 7, 2006

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

    Payer SourceTotal Paid
    Medicare$100.9K
    Medicaid$9.1K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The 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…1,100$60$69.4K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…310$50$13.9K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.150$80$12.5K
    99310The 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…40$100$3.9K
    99497The 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…20$50$860

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930961660270$70$29.8K
    99308178620150$50$13.7K
    9931016627060$100$11.6K
    99316916030$80$4K
    9949762177040$60$3.9K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The 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…1,780$1$7.1K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…960$1$1.9K
    0518FNo Summary found for this code60$0$0
    1100FNo Summary found for this code60$0$0
    1123FNo Summary found for this code50$0$0
    3288FNo Summary found for this code60$0$0
    G8482Influenza immunization administered or previously received110$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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309The 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…93360500$10$51.1K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…164420570$10$37.5K
    1100FNo Summary found for this code174050$1$1
    1123FNo Summary found for this code7413080$1$1
    0518FNo Summary found for this code133060$0$0
    3288FNo Summary found for this code5610080$0$0
    G8482Influenza immunization administered or previously received3810090$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southeastern Emergency Services P CTNNurse Practitioner$0$21.7M
    Inpatient Consultants Of North Carolina, PCNCInternal Medicine Physician$0$12.1M
    Ipc Pac Healthcare Services Of Tennessee PCTNInternal Medicine Physician$0$8.5M
    Emily LangloisKYNurse Practitioner$450.3K$0
    Michael CoxTNInternal Medicine Physician$292.6K$0
    Fay BembryTNPsychiatric/Mental Health Nurse Practitioner$207K$57.1K
    Udoeyop UdoeyopMDInternal Medicine Physician$229.9K$0
    Rual SwansonTNFamily Medicine Physician$227.7K$0
    Jim PangTNPsychiatry Physician$86.7K$128.9K
    Roger MorganTNPsychologist$93.6K$108K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Omni Community Health, Inc.TNCommunity/Behavioral Health Agency$0$77.7M
    Summit Medical Group, PLLCTNInternal Medicine Physician$0$44.5M
    Allergy Associates, P.A.TNSpecialist$0$26.5M
    Knoxville Pediatric Dentistry, PLLCTNGeneral Practice Dentistry$0$11.2M
    The Florence Crittenton Agency IncTNCommunity/Behavioral Health Agency$0$10.7M
    Bsp Enterprises, LLCTNIn Home Supportive Care Agency$0$8M
    Associated Pain Specialists, PCTNPain Medicine Physician$0$6.8M
    Jeremiah BivinsTNAllergy & Immunology Physician$419.4K$4.6M
    Westbrook Medical Center, PLLCTNFamily Medicine Physician$0$4M
    James MillerTNRetina Specialist (Ophthalmology) Physician$3.9M$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
    Eric Stone — 1 of 5 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 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Eric Stone — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee