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

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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 Holst (NPI 1295896751)

Field	Value
Entity Type	Individual
Organization	Stephen Holst
Address	340 West Dow Street
City	Sheridan
State	WY
ZIP	82801
Taxonomy	Urology Physician
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicare	$230.7K
Medicaid	$0

Key Findings

Practice profile and service mix are aligned with outpatient urology: the top Medicare revenue drivers are 99214, 52000, and 99204, indicating a blend of office-based evaluation and management plus cystoscopic procedures. The presence of both E/M-heavy codes (99214, 99204) and endoscopic codes (52000) suggests this provider operates as a clinic-focused urology practice performing diagnostic and procedural work during office visits rather than primarily inpatient surgery.

High revenue concentration in a few codes: the precomputed top-3 codes account for 57.0% of Medicare revenue, with 99214 generating $72.2K (31.3% of total Medicare revenue), 52000 generating $41.4K (18.0%), and 99204 generating $17.7K (7.7%). This concentration means a majority of billing depends on a small set of visit and cystoscopy services, so changes in coding, payer policy, or referral patterns for these services would materially affect revenue.

This provider is effectively single-payer in scope: total Medicare revenue is $230.7K and there is no Medicaid billing on file, so all analyzed claims activity and competitive comparisons derive from Medicare only. The lack of Medicaid billing indicates payer mix is heavily weighted to Medicare beneficiaries and payers should treat Medicaid performance as not applicable for in-state comparisons.

Competitive standing varies by service line: 99214 ranks #16520 of 479517 providers nationally (97th percentile) and is described as notably above typical national volume for this code, marking the provider as a high-volume biller of established-patient E/M visits. In contrast, 52000 (rank #431 of 8548, 95th percentile) is labeled a typical, unremarkable volume for this code and 99204 (rank #8728 of 227068, 96th percentile) is also described as notably above typical national volume, indicating particularly strong performance in higher-complexity new and established office encounters while cystoscopy volume is within expected peer norms.

Ancillary and diagnostic services are a meaningful component of throughput: 81000 has 1.6K claims and $6.3K revenue (2.7% of Medicare revenue) and ranks #48 of 3903 providers nationally (99th percentile; notably above typical national volume for this code), while 51798 has 597 claims and $4.2K revenue (1.8%) and ranks in the 94th percentile. These patterns point to substantial in-office urine testing and post-void residual ultrasound usage, consistent with a clinic that performs point-of-care diagnostics alongside procedures.

Procedural urology and stone management represent a measurable but secondary revenue stream: codes such as 52356 ($9.5K revenue, 4.1%, rank #455 of 3090, 84th percentile), 52310 ($9K revenue, 3.9%, rank #300 of 2547, 87th percentile) and 52352 ($4.2K revenue, 1.8%, rank #132 of 304, 53th percentile) indicate engagement in ureteroscopy and stent/stones work at typical peer volumes. These entries show the provider performs therapeutic endoscopic procedures regularly but they do not dominate the revenue profile the way office E/M visits do.

Medical therapy and oncology-related billing appears at modest levels: J9217 (leuprolide) produced $15.8K revenue (6.9% of Medicare revenue) and is described as typical, unremarkable volume, and 96402 (hormonal anti–neoplastic administration) appears with $864 revenue. Together these codes suggest some in-office androgen-deprivation or hormonal therapy for prostate conditions but not a high-volume oncology infusion practice.

Tenure is long-standing: the NPI was enumerated 2006-12-12 (~20 years ago), indicating an established individual practice history. Coupled with overall Medicare revenue of $230.7K, this suggests a stable, experienced clinician operating a modest-size Medicare-focused urology practice rather than a large multi-provider or hospital-based enterprise.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	860	$80	$72.2K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	220	$190	$41.4K
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…	160	$110	$17.7K
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…	270	$60	$16.2K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	120	$140	$15.8K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	30	$320	$9.5K
52310	The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…	40	$260	$9K
51705	In this procedure, the provider performs a simple removal of a tube that he previously places into a patient’s bladder and replaces it with a new tube through the same incision.	100	$70	$6.9K
81000	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	1,570	$1	$6.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	570	$10	$4.6K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Stephen Holst — 4 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52000	1	10	100	$160	$18.5K
J9217	3	10	110	$130	$16.1K
99214	22	780	100	$80	$14.8K
99233	109	110	70	$90	$11.3K
52356	2	10	20	$510	$10.2K
99213	166	850	110	$60	$9.9K
99223	94	130	40	$130	$7.8K
51705	2	10	70	$70	$5K
99204	11	340	30	$110	$5K
52332	2	10	30	$180	$4.8K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Normative Services, Inc.	WY	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$8.5M
Lgbtq Telepsychiatry	WY	Psychiatric/Mental Health Nurse Practitioner	$0	$3.9M
Rehabilitation Enterprises Of Northeastern Wyoming	WY	Clinical Psychologist	$0	$3.5M
Northeast Wyoming Pediatric Associates, P.C.	WY	Pediatrics Physician	$0	$3.2M
Gillette Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$2.9M
Eagle Ridge Rehabilitative Services	WY	Case Management Agency	$0	$2.6M
David Bailey	WY	Pediatric Dentistry	$0	$2.6M
Sensational Kids, LLC	WY	Pediatric Occupational Therapist	$0	$2.1M
Memorial Hospital Of Sheridan County	WY	General Acute Care Hospital	$0	$989.7K
Linda Garretson	WY	Developmentally Disabled Services Day Training Agency	$0	$989.3K

Stephen Holst — 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