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

    NPI 1447354956 · Petersburg, WV · Internal Medicine Physician

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    Stephen Thompson is a internal medicine physician provider located in Petersburg, West Virginia. This profile covers 11 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Thompson
    Address65 Hospital Dr Ste 102
    CityPetersburg
    StateWV
    ZIP26847
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 13, 2006

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

    Payer SourceTotal Paid
    Medicare$99.4K
    Medicaid$6.8K

    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.

    11 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…880$80$71K
    99232The 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…220$60$12.7K
    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…60$60$3.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$130$3.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$90$2.6K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…30$80$2.4K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…30$80$2.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…10$130$1.7K
    J1040Injection, methylprednisolone acetate, 80 mg40$10$380
    J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg30$1$30

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309129160160$70$26.3K
    992323391,34090$60$11.9K
    99214312,740100$70$11.8K
    9922370478030$130$7.9K
    992131,7522,86080$50$7.5K
    9923926737070$90$7K
    9921530247030$110$6.8K
    992225301,08030$100$4.5K
    J1040205040$10$440
    J3420445070$1$90

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 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…190$30$6K
    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…10$50$760
    99335N/A20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. West Virginia median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,2331,2701,240$30$245K
    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…7571,030890$50$221K
    99335N/A51050$10$580

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grant Memorial HospitalWVCritical Access Hospital$0$13M
    Grant Memorial Hospital IncWVCritical Access Hospital$0$2.4M
    David WeberPASpecialist$292.8K$498.8K
    John LobbanWVClinical Cardiac Electrophysiology Physician$167.7K$0
    Benjamin LeslieWVInternal Medicine Physician$87.8K$7.5K
    Brian KazienkoWVCardiovascular Disease Physician$86.1K$7K
    Caroline ArmstrongWVInternal Medicine Physician$75K$10.1K
    Brian RichardsonWVEmergency Medicine Physician$80K$0
    Brandon WilsonWVGeneral Practice Physician$62.3K$6.4K
    David DeuellWVEmergency Medicine Physician$63.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Potomac Highlands GuildWVCommunity/Behavioral Health Agency$0$38.9M
    Potomac Highlands Mental Health Guild, Inc.WVCommunity/Behavioral Health Agency$0$17.1M
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$7.8M
    Commission On Aging Family ServicesWVCommunity Based Hospice Care Agency$0$3.3M
    John L Hahn Md IncWVObstetrics & Gynecology Physician$0$1.4M
    County Of GrantWVLand Ambulance$271.5K$998.9K
    Khaled SaidWVEmergency Medicine Physician$81.7K$1.5K
    Heather BargerWVFamily Nurse Practitioner$53.5K$870
    Theodore WeitzWVEmergency Medicine Physician$42.4K$0
    Melissa MathiasWVFamily Nurse Practitioner$36.2K$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. West Virginia Distribution
    Stephen Thompson — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Stephen Thompson — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia