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    OpenPayerNPI Medicare & MedicaidStephen Markewich
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    Stephen Markewich — Billing Profile & Reimbursement Data

    NPI 1295959823 · Wasilla, AK · Pain Medicine Physician

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    Stephen Markewich is a pain medicine physician provider located in Wasilla, Alaska. This profile covers 39 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Markewich
    Address3190 E Meridian Park Loop
    CityWasilla
    StateAK
    ZIP99654
    TaxonomyPain Medicine Physician
    NPI EnumeratedApril 13, 2007

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider is effectively a single‑payer Medicare practice: Total Medicare revenue is $1.1M while Total Medicaid revenue is none (no Medicaid billing on file). That concentration means the provider’s financial profile and utilization patterns are driven entirely by Medicare claims rather than a mixed Medicaid/Medicare payer base.

    Revenue is highly concentrated in a very small set of services: the precomputed top three Medicare codes by revenue account for 61.8% of this provider's total Medicare revenue. The single largest line item is 99214 ($456.5K; 43.0%), followed by G0482 ($110K; 10.4%) and G0483 ($88.6K; 8.3%), indicating a narrow set of high‑value services that dominate receipts.

    The code mix and descriptions identify a pain‑medicine practice centered on office‑based evaluation and management plus substantial laboratory and interventional services. 99214 (3.8K claims, $120 avg paid/claim) is the top revenue driver and is paired with high volumes of definitive drug testing (G0482: 570 claims; G0483: 369 claims) and screening (80307: 1.1K claims), while procedure codes such as 64635, 62323, 64493 and 63650 reflect image‑guided spinal injections, neurolytic procedures, and neurostimulation work typical of interventional pain services.

    For the flagship E/M code 99214 the provider is a national outlier: it ranks #94 of 479517 providers (100th percentile; extreme outlier), which indicates far higher than typical national volume for that specific office visit code and suggests a high throughput of established‑patient visits in Medicare. By contrast, other high‑revenue items do not show that same extreme dominance: 99213 ranks in the 95th percentile (notably above typical national volume) but many interventional codes fall in more moderate percentiles.

    Drug testing is a material, high‑ranked revenue stream but shows typical national positioning rather than extreme dominance: G0482 ranks #135 of 1618 (92th percentile; typical, unremarkable volume) and G0483 ranks #233 of 1063 (78th percentile; typical, unremarkable volume), while presumptive screening 80307 ranks #267 of 4760 (94th percentile; typical, unremarkable volume). Together these lab codes produce a combined multi‑code revenue footprint (G0482, G0483 and 80307 among others) that underpins a significant share of the practice’s Medicare receipts in addition to office visits.

    The provider offers interventional pain procedures but does not appear nationally dominant in those lines: examples include 64635 ($35.3K; rank #1536 of 5957, 74th percentile), 62323 ($28.3K; rank #1502 of 7397, 80th percentile) and 64493 ($26.3K; rank #1399 of 7519, 81th percentile). These percentiles indicate steady, typical activity in image‑guided injections and neurolytic procedures consistent with an interventional pain practice, but not at the same exceptional volume level as the provider’s 99214 billing.

    Behavioral and neuropsychological testing is a visible secondary service line: 96132 ($25.4K; rank #227 of 3173, 93th percentile), 96130 ($23.9K; rank #118 of 1068, 89th percentile) and 96138 ($5.3K; rank #167 of 2068, 92th percentile) together show sustained provision of standardized testing and interpretation services. These codes suggest the practice integrates cognitive/psychometric assessment into care, which complements pain management workflows such as pre‑procedure evaluation and opioid risk assessment.

    The provider has an established presence: NPI enumerated 2007-04-13 (~19 years ago), indicating long tenure in the Medicare program. Given the practice’s heavy reliance on Medicare ($1.1M) and absence of Medicaid billing, analysts should consider the single‑payer exposure and the operational implications of a revenue base dominated by a few codes—especially 99214—when assessing market position and revenue risk.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…3,800$120$456.5K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…570$190$110K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…370$240$88.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1,070$60$64.1K
    99213The 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…550$80$43.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.60$550$35.3K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…120$240$28.3K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…110$240$26.3K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.80$340$25.9K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…180$140$25.4K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368521030$11,900$321.3K
    6365021090$2,500$222.1K
    G048151040$150$43.9K
    G048311030$240$19.2K
    G048211050$190$18.2K
    9921411,21090$100$16.2K
    6463511030$500$14.5K
    6232332050$220$13.1K
    6449322040$230$12.7K
    80307120100$60$12K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Group Of AlaskaAKPain Medicine Physician$0$6.9M
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Joseph DaiALDermatology Physician$1.6M$0
    Medical Group Of AlaskaAKPhysical Therapy Clinic/Center$0$1.4M
    John StorheimCOAnesthesiology Physician$1.3M$0
    Christopher EricksonCAAnatomic Pathology & Clinical Pathology Physician$1.3M$4.7K
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Cesar GuerreroMSDermatology Physician$596.7K$46K
    Dane StewartCOOphthalmology Physician$641.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mat-su Services For Children & AdultsAKDevelopmentally Disabled Services Day Training Agency$0$34.2M
    Southcentral FoundationAKMulti-Specialty Clinic/Center$0$30.7M
    Mat - Su Health Services Inc.AKMental Health Clinic/Center (Including Community Mental Health Center)$0$24.4M
    Set Free Alaska, Inc.AKSubstance Abuse Rehabilitation Facility$0$21.5M
    Hope Community Resources IncAKRespite Care$0$19.3M
    Community Medical Services Montana Private LLCAKMethadone Clinic$395.9K$18.9M
    Alaska Home CareAKHome Health Agency$0$14.1M
    True North Recovery IncAKCommunity/Behavioral Health Agency$0$11.5M
    Pediatric Dentistry Of AlaskaAKDental Clinic/Center$0$11.4M
    Backcountry Therapeutics LLCAKOccupational Therapist$0$11M

    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. Alaska Distribution
    Stephen Markewich — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska