Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSherman Stevenson
    Ask Trek AI about this page

    Sherman Stevenson — Billing Profile & Reimbursement Data

    NPI 1316935000 · Brunswick, GA · Otolaryngology Physician

    Customize your policy alerts

    Sign up for Sherman Stevenson — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sherman Stevenson is a otolaryngology physician provider located in Brunswick, Georgia. This profile covers 12 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSherman Stevenson
    Address3205 Shrine Road
    CityBrunswick
    StateGA
    ZIP31520
    TaxonomyOtolaryngology Physician
    NPI EnumeratedOctober 7, 2005

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

    Payer SourceTotal Paid
    Medicare$64.3K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…400$60$23.2K
    99203The 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…180$70$12.8K
    99204The 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…90$120$10.3K
    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…80$80$6.6K
    31575The 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.70$90$6K
    92588The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…70$20$1.8K
    92550The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…70$20$1.2K
    42975After the patient receives sedation and is asleep, the provider uses an endoscope to assess the throat and check the palate and tongue areas. The goal is to determine where airway obstruction is…10$70$880
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.20$30$540
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…30$20$490

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,23713,640120$80$17.8K
    992131,24113,36080$60$9.2K
    992049017,26030$110$5.1K
    315758128050$90$4.9K
    992031315,35030$70$3.3K
    6921024434040$30$2.1K
    92588134040$20$1.6K
    4297581020$70$1.2K
    92504447040$20$1.2K
    9256727331080$10$1.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Gregory PippinNDOtolaryngology Physician$48.4K$1.7M
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Erick BournigalGARheumatology Physician$1.3M$0
    William KnopfGACardiovascular Disease Physician$1.1M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Edwin HerdHIPediatrics Physician$0$640.5K
    Sean WhalenNYNuclear Medicine Physician$555.5K$0
    Antonio MoranGAHematology & Oncology Physician$537.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paradigm Labs, LLCGAClinical Medical Laboratory$3.1M$19.6M
    Gateway Community Service BoardGACommunity/Behavioral Health Agency$0$22.4M
    Emergency Physicians IncGAEmergency Medicine Physician$0$7.6M
    Arc Of Georgia, LLCGAAmbulatory Surgical Clinic/Center$1.3M$0
    Emmanuel GageGAInterventional Pain Medicine Physician$1.1M$0
    Seaside Surgical, LLCGAOphthalmologic Surgery Clinic/Center$1M$0
    Diana L. Walther, Ph.d. PCGAPsychologist$0$841.2K
    Edward DipretaGADermatology Physician$584.1K$0
    Ahmed ElsharkawiGANephrology Physician$497K$0
    Mark WatkinsGASpecialist$485.6K$0

    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. Georgia Distribution
    Sherman Stevenson — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia