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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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 Anderson (NPI 1518991678)

Field	Value
Entity Type	Individual
Organization	Steven Anderson
Address	1717 University Dr S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicare	$396.3K
Medicaid	$0

Key Findings

Practice-level revenue is concentrated in Medicare: lifetime Medicare revenue is $396.3K and there is no Medicaid billing on file, so this provider operates effectively as a Medicare-focused practice with no recorded Medicaid payer mix. Absence of Medicaid activity means analyses of state Medicaid access or reimbursement differences are not applicable for this provider.

The top three Medicare codes — 66984 ($151.2K, 38.1%), 99214 ($46.7K, 11.8%), and 66821 ($42K, 10.6%) — together account for 60.4% of Medicare revenue, indicating heavy concentration in a small set of services. This concentration suggests that surgical cataract care and associated office evaluation services drive most of the practice’s revenue.

Code mix and revenues point to a surgical ophthalmology practice centered on cataract procedures and perioperative care: 66984 (primary cataract extraction with IOL insertion) is the single largest revenue contributor, supported by postoperative/management E/M codes such as 99214 and high-volume YAG capsulotomy 66821. Secondary services include glaucoma-device implantation (66183, 66180) and diagnostic imaging (92133), consistent with a full-scope ophthalmology clinic that performs surgical and follow-up care for an older Medicare population.

Competitive standing on cataract volume is modest: 66984 ranks #3362 of 15965 nationally and is characterized in the data as a "typical, unremarkable volume" for the code. In other words, the provider performs substantial cataract surgery relative to many peers but is not a dominant national outlier in cataract procedural volume.

Evaluation-and-management activity shows above-average volume for established and new patient visits: 99214 is labeled "notably above typical national volume" and 99204 is labeled an "extreme outlier, far above typical national volume." This combination suggests an unusually high level of complex new-patient consultations and follow-up office management relative to national peers, which may reflect a referral-driven surgical practice or concentrated preoperative assessment activity.

The provider shows focused capability in glaucoma device work: 66183 and 66180 appear among the practice’s higher-revenue procedures and are ranked within specialized national cohorts (noted as typical volumes in the data), indicating experience with glaucoma implants relative to a smaller group of surgeons who perform these devices. These procedure-level ranks imply the provider is a recognized participant in surgical glaucoma care even though overall Medicare revenue is modest in absolute dollars.

Advanced diagnostic imaging is a meaningful part of the service mix: 92133 (OCT of optic nerve) is described as "notably above typical national volume," while other imaging codes such as 92134 and 92136 are in the typical range. Higher OCT utilization relative to peers supports a clinical emphasis on retinal and optic nerve monitoring that complements the surgical and medical glaucoma services.

Long tenure in the Medicare program: the NPI was enumerated 2006-07-11 (~20 years ago), indicating an established practice footprint. Combined with the procedure mix (cataract surgery, YAG capsulotomy, glaucoma implants, high-complexity E/M), this tenure is consistent with a stable, surgeon-led ophthalmology practice serving predominantly Medicare beneficiaries.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	400	$380	$151.2K
99214	The 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…	700	$70	$46.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	160	$270	$42K
66183	The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.	40	$770	$28.6K
99204	The 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…	300	$90	$27.9K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	50	$530	$25.5K
66180	The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…	30	$900	$25.1K
99213	The 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…	300	$50	$13.6K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	320	$20	$6.3K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	410	$20	$6.2K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Steven Anderson — 6 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	12	100	50	$350	$61.2K
67028	23	30	290	$80	$40.6K
66982	6	20	40	$590	$29.4K
66821	8	30	80	$230	$27.3K
66180	1	10	30	$900	$25.1K
66183	1	10	20	$1,040	$23.8K
99214	40	1,470	90	$60	$10.4K
92136	9	30	240	$30	$8.3K
99213	129	1,490	80	$50	$5.8K
92134	24	140	70	$20	$4.8K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Health Of Northern Minnesota	MN	Rural Acute Care Hospital	$0	$47.6M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Sanford Health Of Northern Minnesota	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Sanford Clinic North	ND	Clinical Medical Laboratory	$1.4M	$7M
Sanford Health Network North	MN	Multi-Specialty Clinic/Center	$0	$5.2M
Sanford Medical Center Fargo	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M

Steven Anderson — Billing Profile & Reimbursement Data

Sign up for Steven Anderson — Billing Profile & Reimbursement Data policy alerts

Steven Anderson — Billing Profile & Reimbursement Data

Sign up for Steven Anderson — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References