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NPI 1467911214 · Fpo, AP · Emergency Medicine Physician
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Stephanie Winslow is a emergency medicine physician provider located in Fpo, Armed Forces Pacific. This profile covers 2 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Stephanie Winslow |
| Address | Psc 475 Box 1 |
| City | Fpo |
| State | AP (Armed Forces Pacific) |
| ZIP | 96350 |
| Taxonomy | Emergency Medicine Physician |
| NPI Enumerated | March 19, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $69.6K |
| Medicare | $23.3K |
This provider bills almost exclusively for emergency department evaluation-and-management services: the top revenue-driving codes are 99285 (ED visit, high medical decision making) and 99284 (ED visit, moderate medical decision making), which together account for the entirety of recorded Medicare and Medicaid revenue line items. The code mix indicates an ED-focused practice model rather than outpatient clinic or procedure-based specialties, with clinical throughput centered on higher-acuity and moderate-acuity emergency presentations.
Revenue concentration is extreme across both payers: the precomputed top-3 Medicare codes account for 100.0% of the provider's total Medicare revenue and the precomputed top-3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue. In practical terms, the provider’s fiscal performance is driven entirely by a very small set of ED E/M codes rather than a diversified procedure mix.
Payer mix is skewed toward Medicaid in scale: reported lifetime Medicaid revenue is $69.6K compared with $23.3K of Medicare revenue, so Medicaid represents the larger payer source by reported dollars. This makes the provider effectively more Medicaid-dependent in absolute revenue terms rather than balanced between the two programs.
Medicare-level detail shows concentration in 99285: 144 claims yielded $19.6K revenue (83.9% of the provider's total Medicare revenue) at an average paid per claim of $136, and 99284 contributed $3.8K (16.1%) across 40 claims at $94 avg paid/claim. Nationally, 99285 activity ranks #22793 of 61347 providers (63th percentile) and 99284 ranks #42848 of 64306 providers (32th percentile), both characterized as typical, unremarkable volume for those codes, indicating the provider is a modest national participant rather than a high-volume outlier.
Medicaid-level detail likewise centers on two ED E/M codes: 99285 generated $40K (57.4% of the provider's total Medicaid revenue) from 506 claims at $79 avg paid/claim, while 99284 produced $29.6K (42.6%) from 539 claims at $55 avg paid/claim. In-state competitive positions differ by code: 99285 ranks #3 of 4 providers in-state (33th percentile) and is labeled typical, unremarkable volume, whereas 99284 ranks #1 of 5 providers in-state (100th percentile) and is also labeled typical, unremarkable volume, signaling the provider is a leading in-state biller for moderate-level ED visits but not for the highest-acuity ED visits.
Competitive standing is mixed: on Medicare the provider is a modest, typical participant nationally (63th and 32th percentiles for the two main CPTs), not a dominant national player; on Medicaid the provider shows stronger local footing for 99284 (rank #1 of 5 in-state) yet remains non-dominant for 99285 (rank #3 of 4). This pattern suggests the provider competes effectively for moderate-acuity ED encounters in-state while not commanding top share for high-acuity ED encounters.
The NPI was enumerated on 2019-03-19 (~7 years ago), so this billing profile reflects roughly mid-tenure activity rather than a very long historical footprint. Tenure of ~7 years means observed patterns are likely established but still could evolve with local market or contract changes.
Claims counts indicate heavier Medicaid utilization overall: Medicare claims for top codes are 144 and 40, whereas Medicaid claims are 506 and 539 for the same codes, suggesting significantly higher Medicaid patient volume and operational throughput for ED visits. For payer strategy and contracting, this asymmetric volume implies Medicaid reimbursement dynamics and in-state competitive positioning will materially influence the practice’s revenue and capacity planning.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 140 | $140 | $19.6K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 40 | $90 | $3.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 510 | $80 | $40K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 540 | $60 | $29.6K |
How this provider's Medicaid billing volume and revenue compare to other Armed Forces Pacific providers billing the same CPT/HCPCS codes. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.
Full comparison — all codes billed, vs. Armed Forces Pacific median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 3 | 10 | 530 | $50 | $23.8K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 1 | 10 | 170 | $50 | $11.8K |
Other providers in the same ZIP code as Stephanie Winslow, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rose-valentine Goncalves | AP (Armed Forces Pacific) | Emergency Medicine Physician | $92.8K | $0 |
| Mark Boone | AP (Armed Forces Pacific) | Pediatric Dentistry | $0 | $13.4K |
| Seung Young Huh | AP (Armed Forces Pacific) | Emergency Medicine Physician | $13.1K | $0 |
| Scott Naples | AP (Armed Forces Pacific) | Medical Physician Assistant | $7.5K | $0 |
| Lauren Cruz | AP (Armed Forces Pacific) | Physical Therapist | $6.3K | $0 |
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