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

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

Shelby Stephenson (NPI 1528543048)

Field	Value
Entity Type	Individual
Organization	Shelby Stephenson
Address	11500 N Portland Ave
City	Oklahoma City
State	OK
ZIP	73120
Taxonomy	Audiologist
NPI Enumerated	October 1, 2018

Payer Source	Total Paid
Medicare	$8.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92626	The provider tests the auditory functional status of the patient to include sound perception, listening ability, orienting movements, and balancing. The provider performs this evaluation to determine…	60	$60	$3.4K
92652	In this procedure, the provider measures the patient’s response to sound stimuli for threshold estimation at multiple frequencies. The service includes an interpretation and report.	30	$80	$2.3K
92604	The provider performs reprogramming of a cochlear implant previously placed in a patient 7 years of age or older. The provider ensures that the implant is working properly and also counsels the…	40	$60	$2.2K
92627	The provider tests the auditory functional status of the patient to include sound perception, listening ability, orienting movements, and balancing. The provider performs this evaluation to determine…	20	$20	$260

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Shelby Stephenson — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92652	3	10	40	$80	$3K
92604	8	20	30	$60	$2.9K
92626	6	20	40	$60	$2.8K
92627	5	10	60	$10	$870

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcbride Clinic Orthopedic Hospital, LLC	OK	General Acute Care Hospital	$0	$9M
Thomas Tkach	OK	Orthopaedic Surgery Physician	$352.5K	$0
Winston Fong	OK	Orthopaedic Surgery of the Spine Physician	$348.4K	$0
Kevin Wiley	OK	Orthopaedic Surgery of the Spine Physician	$224.7K	$0
James Mitchell	OK	Orthopaedic Surgery Physician	$209.9K	$0
Christopher Travis	OK	Surgical Physician Assistant	$156.9K	$0
Robert German	OK	Orthopaedic Surgery Physician	$140K	$0
Christopher Tkach	OK	Orthopaedic Surgery Physician	$114.1K	$0
William Edmonds	OK	Orthopaedic Surgery Physician	$114K	$0
Mark Pascale	OK	Orthopaedic Surgery Physician	$113.9K	$0

Shelby Stephenson — Billing Profile & Reimbursement Data

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Shelby Stephenson — 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