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

    NPI 1528012010 · Poplar Bluff, MO · Internal Medicine Physician

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    Stephen Nagy is a internal medicine physician provider located in Poplar Bluff, Missouri. This profile covers 25 Medicare and 12 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 Nagy
    Address225 Physicians Park
    CityPoplar Bluff
    StateMO
    ZIP63901
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$107K
    Medicare$70.6K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.910$10$11.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,050$10$10.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,040$10$8.3K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…240$30$7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…390$20$6.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…580$10$5.2K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.320$20$4.8K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.40$90$3.7K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…120$30$3K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…20$90$1.7K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95811379040$140$7.4K
    95810659030$140$5.8K
    8005327570100$10$3.9K
    800611350080$10$3K
    8502532570100$10$2.9K
    844433342080$20$2.9K
    7708015847070$20$2.8K
    823062628040$30$2.7K
    93010837850140$10$2.1K
    841536117050$20$2K

    Showing 1–10 of 25

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.5,830$20$93.2K
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.2,270$1$4.5K
    90710This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox).100$20$2.1K
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.100$20$1.5K
    90633This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.250$10$1.3K
    90734The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…210$10$1.1K
    90696This code represents a combination vaccine product administered into the muscle to protect young children (4 to 6 years of age) against diphtheria, tetanus, pertussis (whooping cough), and polio.40$20$740
    90700This code represents a DTaP vaccine product administered into the muscle to protect against diphtheria, tetanus, and pertussis (whooping cough). It is used for children younger than 7 years of age.30$20$460
    90649This code represents a quadrivalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against four HPV types (6, 11, 16,…80$10$380
    90620This code represents a vaccine product administered into the muscle to protect against meningococcal disease caused by serogroup B. This vaccine uses recombinant proteins and outer membrane vesicles…30$10$170

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.20320250$20$27.8K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…401500180$10$3.7K
    90700This code represents a DTaP vaccine product administered into the muscle to protect against diphtheria, tetanus, and pertussis (whooping cough). It is used for children younger than 7 years of age.6010040$20$3.6K
    90710This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox).4916070$20$3.1K
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.8021070$20$2.7K
    90696This code represents a combination vaccine product administered into the muscle to protect young children (4 to 6 years of age) against diphtheria, tetanus, pertussis (whooping cough), and polio.8413050$20$2.5K
    90633This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.6933060$10$1.8K
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.43390180$1$1.8K
    90734The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…8029080$10$1.2K
    90649This code represents a quadrivalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against four HPV types (6, 11, 16,…225070$10$790

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Francis Medical CenterMOGeneral Acute Care Hospital$0$56.4M
    Saint Francis Medical CenterMOInternal Medicine Physician$0$11.7M
    Saint Francis Medical CenterMORural Health Clinic/Center$0$8.8M
    Southeast Health Center Of Stoddard County, LLCMOGeneral Acute Care Hospital$0$8.4M
    Saint Francis Medical CenterMORural Health Clinic/Center$0$7.5M
    Saint Francis Medical CenterMORural Health Clinic/Center$0$4.7M
    Charles MoonMODermatology Physician$2.7M$0
    Justin FloydILMedical Oncology Physician$1.3M$336.2K
    Alex DwumaOKInternal Medicine Physician$820.6K$0
    Saint Francis Medical CenterMOClinical Medical Laboratory$296.9K$471K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Poplar Bluff Regional Medical Center LLCMOGeneral Acute Care Hospital$0$71.6M
    State Of MissouriMODevelopmentally Disabled Services Day Training Agency$0$37.1M
    Independent Living Center Of Southeast Missouri, Inc.MOCase Management Agency$0$27.3M
    State Of MissouriMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$16.2M
    Southern Care And Comfort In Home Agency, LLCMOIn Home Supportive Care Agency$0$15.3M
    Ozark Behavioral Health, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.2M
    Tri-county Group Xv, Inc.MOHome Health Agency$0$13.9M
    Butler County Ems LLCMOLand Ambulance$1.2M$8.8M
    Poplar Bluff Hma Physician Management, LLCMOFamily Medicine Physician$0$9.9M
    State Of MissouriMOCase Management Agency$0$6.8M

    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. Missouri Distribution
    Stephen Nagy — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Stephen Nagy — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri