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    v1.0.28
    OpenPayerNPI Medicare & MedicaidStacey Clegg
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    Stacey Clegg — Billing Profile & Reimbursement Data

    NPI 1396929642 · Albuquerque, NM · Cardiovascular Disease Physician

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    Stacey Clegg is a cardiovascular disease physician provider located in Albuquerque, New Mexico. This profile covers 14 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
    OrganizationStacey Clegg
    Address502 Elm St Ne
    CityAlbuquerque
    StateNM
    ZIP87102
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedDecember 21, 2007

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

    Payer SourceTotal Paid
    Medicare$100.9K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…120$200$23.3K
    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…330$70$22.5K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…30$420$13.1K
    92933The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They use atherectomy, which is removal of plaque from the artery wall, followed by…30$460$11.6K
    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…110$90$10.1K
    92978In this add–on procedure, the provider advances a catheter into a coronary vessel or previously placed graft using ultrasound or optical coherence tomography to view the extent of the blockage,…60$70$4.1K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…10$240$3.3K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…20$160$3.2K
    93459In this procedure, the provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into the…20$200$3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…50$40$2.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9292882020$400$13K
    992143752,70090$70$12.9K
    9345843050$190$11.8K
    9929125234040$160$9.5K
    99490109140100$40$8.9K
    9293311020$470$8.9K
    93460122020$260$5.3K
    992041011,21030$100$4.5K
    9345961020$200$3.4K
    9297852020$70$2.4K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Medical Associates, LLCNMGeneral Practice Physician$0$41.4M
    Yubao WangCAHematology & Oncology Physician$612K$0
    Paul BrittainNMHematology & Oncology Physician$398.9K$0
    Kader AbdelerahmanNMNeurology Physician$369.7K$0
    Scott HerbertNMHematology & Oncology Physician$312.4K$0
    Odinaka NnannaNMInternal Medicine Physician$306.4K$0
    Radu ButucNMInternal Medicine Physician$287.9K$0
    Michael HoskinsNMClinical Cardiac Electrophysiology Physician$254.2K$0
    Michael BestawrosNMClinical Cardiac Electrophysiology Physician$251.8K$0
    Sean MazerNMClinical Cardiac Electrophysiology Physician$251.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tricore Reference LaboratoriesNMClinical Medical Laboratory$0$64.8M
    Bright Horizons, Inc.NMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$46.9M
    Lovelace Health System LLCNMGeneral Acute Care Hospital$0$45.2M
    Tricore Inc.NMClinical Medical Laboratory$7M$35.8M
    App Of New Mexico Ed PLLCNMEmergency Medicine Physician$0$42M
    Duke City Recovery Toolbox LLCNMCommunity/Behavioral Health Agency$108.4K$28M
    Metro Treatment Of New Mexico LPNMMethadone Clinic$220.4K$27.9M
    Enchanted Care Solutions, LLCNMHome Health Agency$0$25.8M
    Open Skies HealthcareNMCommunity/Behavioral Health Agency$0$23.8M
    Krossroads Integrative Health And Recovery Solutions IncNMMental Health Clinic/Center (Including Community Mental Health Center)$0$16.7M

    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. New Mexico Distribution
    Stacey Clegg — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico