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

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

Steven Sugden (NPI 1366416489)

Field	Value
Entity Type	Individual
Organization	Steven Sugden
Address	501 S Chipeta Way
City	Salt Lake City
State	UT
ZIP	84108
Taxonomy	Psychiatry Physician
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicare	$7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	30	$120	$3.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$80	$1.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$60	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Steven Sugden — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	586	700	50	$90	$7.9K
99232	747	880	60	$60	$6.1K
90792	9	40	20	$120	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah	UT	General Acute Care Hospital	$0	$221.3M
Utah Navajo Health System, Incorporated	UT	Federally Qualified Health Center (FQHC)	$0	$55.1M
University Of Utah	UT	General Acute Care Hospital	$0	$23.1M
University Of Utah Pediatric Acuity Care	UT	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$7.3M
University Of Utah	UT	Home Infusion Therapy Pharmacy	$0	$3.8M
Utah Navajo Health System, Incorporated	UT	Family Medicine Physician	$0	$2.5M
University Of Utah	UT	Psychiatric Hospital	$0	$2.1M
Utah Navajo Health System, Incorporated	UT	Family Medicine Physician	$0	$1.8M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$1.3M
University Of Utah Acuity Care Services	UT	Critical Care Medicine (Internal Medicine) Physician	$0	$1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Regional And University Pathologists Inc	UT	Clinical Medical Laboratory	$1.6M	$8.1M
University Of Utah Dental Services	UT	Dental Clinic/Center	$0	$4.6M
Crescendo Bioscience, Inc	UT	Clinical Medical Laboratory	$0	$1.8M
Kolff Dialysis Center University Of Utah	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
University Of Utah Adult Services	UT	Orthopaedic Surgery Physician	$0	$1.1M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$428.2K
Kevin Croft	UT	Dental Anesthesiology	$0	$362.6K
Brandon Lawrence	UT	Orthopaedic Surgery Physician	$219.6K	$0
Mazdak Khalighi	UT	Anatomic Pathology Physician	$159.3K	$0
Jeremy Gililland	UT	Orthopaedic Surgery Physician	$151K	$0

Steven Sugden — Billing Profile & Reimbursement Data

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Steven Sugden — 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