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

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

Stephanie Cox (NPI 1508510553)

Field	Value
Entity Type	Individual
Organization	Stephanie Cox
Address	11835 Fishing Point Dr Ste 104
City	Newport News
State	VA
ZIP	23606
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 8, 2022

Payer Source	Total Paid
Medicare	$45.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	140	$110	$16.4K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	50	$120	$5.9K
99490	The 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…	130	$40	$5.1K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	70	$70	$5.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	100	$50	$4.9K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	10	$170	$2.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$110	$1.6K
99443	N/A	10	$80	$1.2K
99442	N/A	10	$60	$780
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	20	$40	$700

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

Claims Volume vs. Virginia Distribution

Stephanie Cox — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	257	460	90	$80	$20.2K
99490	258	510	130	$50	$15.5K
G0439	2,753	2,960	80	$120	$14.7K
99350	39	200	50	$120	$12.4K
99348	141	380	70	$50	$7.5K
99496	457	560	20	$190	$5.1K
99345	7	80	30	$140	$4K
99443	202	250	20	$80	$3.4K
99442	404	470	20	$60	$2.4K
G0318	23	30	50	$20	$2.2K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Halverson	VA	Family Medicine Physician	$253K	$0
Richard Li	OH	Internal Medicine Physician	$93.8K	$0
Larita Frazier O'bannon	OH	Family Medicine Physician	$90.8K	$0
Keiko Honda	OH	Family Nurse Practitioner	$83.4K	$0
David Anstadt	OH	Internal Medicine Physician	$75.8K	$0
Alison Dubasak	OH	Family Nurse Practitioner	$73K	$0
Jerome Provenzano	VA	Family Medicine Physician	$71.7K	$0
Phyllis Atkinson	OH	Gerontology Nurse Practitioner	$71.6K	$0
Robin Morton	KY	Family Nurse Practitioner	$68.3K	$0
Tracy Mathis	KY	Family Nurse Practitioner	$53.2K	$0

Stephanie Cox — Billing Profile & Reimbursement Data

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Stephanie Cox — 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

Frequently Asked Questions

References