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

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

Stephen Breda (NPI 1295771848)

Field	Value
Entity Type	Individual
Organization	Stephen Breda
Address	4695 Main St
City	Bridgeport
State	CT
ZIP	06606
Taxonomy	Otolaryngology Physician
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicare	$38.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	60	$160	$9.7K
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…	130	$70	$8.8K
69420	The provider makes a small incision in the eardrum (myringotomy); he may suck fluid from the middle ear (aspiration) and/or inject air through a tube or catheter placed through the tympanotomy to…	40	$170	$7K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	110	$30	$3.6K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	30	$110	$3.5K
99203	The provider sees a new 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 provider…	50	$80	$3.4K
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…	20	$120	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Stephen Breda — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31231	40	80	60	$150	$13.9K
99213	1,958	6,440	70	$60	$8.1K
69420	1	10	40	$170	$7K
31575	71	110	50	$100	$6K
99204	1,948	2,660	30	$120	$4.6K
99203	755	2,250	30	$80	$3.5K
69210	53	160	50	$30	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Svmc Holdings, Inc	CT	General Acute Care Hospital	$0	$131.5M
New Era Rehabilitation Center, Inc	CT	Methadone Clinic	$0	$9.3M
Dva Healthcare Renal Care Inc	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.1M
All Kids Dental LLC	CT	Dental Clinic/Center	$0	$5.7M
Myorthos Connecticut Orthodontics PC	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.6M
Doctors Frankel And Hoo, LLC	CT	Optometrist	$0	$4.1M
Qmg4, LLC	CT	Family Medicine Physician	$0	$3.3M
Commerce Park Dental Group LLC	CT	Pediatric Dentistry	$0	$2.7M
Bridgeport Braces, LLC	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.6M
Modern Era Pediatric Practice	CT	Pediatric Adolescent Medicine Physician	$0	$2.1M

Stephen Breda — Billing Profile & Reimbursement Data

Sign up for Stephen Breda — Billing Profile & Reimbursement Data policy alerts

Stephen Breda — Billing Profile & Reimbursement Data

Sign up for Stephen Breda — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References