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

Why is the Medicaid comparison limited to Nebraska 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. Nebraska (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.

Stacy Waldron (NPI 1295765238)

Field	Value
Entity Type	Individual
Organization	Stacy Waldron
Address	2300 S 16th St
City	Lincoln
State	NE
ZIP	68502
Taxonomy	Counseling Psychologist
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicare	$20.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	180	$70	$11.6K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	60	$60	$3.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$110	$2.6K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	20	$80	$1.6K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	20	$30	$500
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	20	$20	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Stacy Waldron — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96139	8	10	220	$20	$9.5K
90834	20	60	130	$60	$9.3K
96131	2	10	40	$60	$3.1K
90791	19	50	20	$100	$2.7K
96130	4	10	20	$90	$2.2K
96138	10	10	50	$20	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Medical Center	NE	General Acute Care Hospital	$0	$56.9M
The Physician Network	NE	Family Medicine Physician	$0	$3.1M
Scott Mcham	NE	Hematology & Oncology Physician	$1.9M	$0
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Haris Zahoor	TX	Medical Oncology Physician	$1.6M	$0
Wallace Peterson	NE	Hematology & Oncology Physician	$1.5M	$0
Irfan Vaziri	NE	Medical Oncology Physician	$1.4M	$0
Stacey Knox	NE	Hematology & Oncology Physician	$1.4M	$0
Nathan Green	NE	Hematology & Oncology Physician	$1.1M	$0
Joni Tilford	NE	Hematology & Oncology Physician	$1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Physician Network	NE	Family Medicine Physician	$0	$12.2M
Centerpointe, Inc.	NE	Substance Abuse Rehabilitation Facility	$0	$5.1M
Inpatient Physician Associates, LLC	NE	Internal Medicine Physician	$0	$2.2M
Genesis Psychiatric Group, LLC	NE	Psychiatric/Mental Health Nurse Practitioner	$0	$1.9M
Southwest Lincoln Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$1.7M	$114.7K
Centerpointe, Inc	NE	Case Management Agency	$0	$1.7M
Centerpointe, Inc.	NE	Case Management Agency	$0	$1.4M
Bluestem Health	NE	Federally Qualified Health Center (FQHC)	$0	$1.3M
Hopespoke	NE	Psychiatric Residential Treatment Facility	$0	$1.1M
Travis Bangert Dc PC	NE	Chiropractor	$0	$1M

Stacy Waldron — Billing Profile & Reimbursement Data

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Stacy Waldron — 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

Nearby Providers

Frequently Asked Questions

References