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

Why is the Medicaid comparison limited to North Dakota 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 Dakota (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 Sczepanski (NPI 1295731040)

Field	Value
Entity Type	Individual
Organization	Mark Sczepanski
Address	3035 Demers Ave
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 27, 2005

Payer Source	Total Paid
Medicare	$545.7K
Medicaid	$0

Key Findings

This provider’s billing footprint is effectively single‑payer: lifetime Medicare revenue is $545.7K while Medicaid revenue is none, with no Medicaid billing on file. That concentration means analyses of utilization and business mix should be interpreted through a Medicare-only lens for this provider.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 72.5% of this provider's total Medicare revenue. Those top three codes are 66984 ($304.2K, 55.7%), 66821 ($53.6K, 9.8%), and 99204 ($38.3K, 7.0%), indicating a heavy dependence on a few high-revenue items.

The code mix points to a cataract- and clinic-based ophthalmology practice: 66984 (cataract extraction with IOL) is the dominant revenue driver and 66821 (YAG capsulotomy) and 92136 (IOL power calculations) are also prominent. Presence of 66991 (IOL plus aqueous drainage device) and eyelid procedure 15823 suggests the practice performs both routine cataract surgery and a smattering of ancillary anterior-segment procedures.

Despite being the largest revenue source, 66984 is described as a typical, unremarkable volume relative to national peers: 66984 reports 845 claims and $360 avg paid/claim for $304.2K revenue and ranks #2166 of 15965 providers nationally (86th percentile; typical, unremarkable volume for this code). This indicates above‑median surgical activity for cataract extraction but not a dominant national surgical volume.

Several items show statistically extreme or notable intensity relative to peers: 99204 (327 claims, $117 avg paid/claim, $38.3K revenue) ranks #958 of 227068 providers nationally (100th percentile; extreme outlier), and 92136 (937 claims, $30 avg paid/claim, $28.1K revenue) ranks #128 of 8731 providers nationally (99th percentile; extreme outlier). These labels suggest unusually high new-patient moderate-complexity visits and exceptionally high use of biometry/IOL calculation services compared with national peers.

Outpatient evaluation-and-management activity is a meaningful secondary revenue stream: 99213 (402 claims, $64 avg paid/claim, $25.7K revenue) and 99214 (159 claims, $96 avg paid/claim, $15.3K revenue) together reflect substantial established-patient clinic volume in addition to procedural work. The combination of frequent E/M codes and high-volume diagnostic entries implies the practice balances clinic visits with surgical throughput.

A mix of diagnostic imaging and specialized ophthalmic tests appears in the portfolio but at modest revenue shares: 92004 (189 claims, $99 avg paid/claim, $18.7K revenue) ranks #1295 of 26467 providers nationally (95th percentile; notably above typical national volume) and OCT/visual field codes such as 92133 and 92083 are present at lower revenue. This pattern is consistent with an office that provides pre- and post-operative diagnostic services alongside its surgical services rather than being primarily an imaging center.

The provider has long tenure in the Medicare program, with NPI enumeration on 2005-06-27 (~21 years ago). Combined with the concentrated Medicare revenue and the surgical/clinic code mix, this tenure supports a profile of an established ophthalmology practice with a sustained cataract surgery focus and steady clinic throughput.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	850	$360	$304.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	220	$250	$53.6K
99204	The 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…	330	$120	$38.3K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	940	$30	$28.1K
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…	400	$60	$25.7K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	190	$100	$18.7K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	40	$440	$17.2K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	190	$80	$15.6K
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…	160	$100	$15.3K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	20	$630	$10.6K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Mark Sczepanski — 5 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	5	100	50	$350	$61.2K
66991	4	10	30	$1,320	$50.1K
66821	5	30	80	$230	$27.3K
15823	9	10	30	$480	$27.2K
92014	76	170	160	$70	$15.6K
99214	472	1,470	90	$60	$10.4K
92136	1	30	240	$30	$8.3K
99213	65	1,490	80	$50	$5.8K
92134	94	140	70	$20	$4.8K
99204	3	570	30	$100	$4.4K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
North Dakota Surgery Center, LLC	ND	Ambulatory Surgical Clinic/Center	$1.7M	$0
William Noyes	ND	Radiation Oncology Physician	$1.2M	$0
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Shree Subedi	WA	Diagnostic Radiology Physician	$774.2K	$0
Jonathan Marshall	NY	Diagnostic Radiology Physician	$761.9K	$4.4K
Christian Unity Hospital Corporation	ND	Rural Health Clinic/Center	$0	$736.8K
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
James Sullivan	MN	Diagnostic Radiology Physician	$589.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Homes Inc	ND	Community/Behavioral Health Agency	$0	$53.9M
Altru Health System	ND	Clinic/Center	$0	$29.7M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
L.i.s.t.e.n. Inc	ND	Community/Behavioral Health Agency	$0	$9.4M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Valley Oral & Facial Surgery PC	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$4.5M

Mark Sczepanski — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References