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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Benjamin Stenzler (NPI 1538128665)

Field	Value
Entity Type	Individual
Organization	Benjamin Stenzler
Address	Usahc-darmstadt Clinic
City	Apo
State	AE (Armed Forces Europe)
ZIP	09175
Taxonomy	Family Medicine Physician
NPI Enumerated	March 18, 2006

Payer Source	Total Paid
Medicare	$22K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is small in absolute dollars: total Medicare revenue is $22K and there is no Medicaid billing on file, so the provider is effectively single-payer (Medicare-only) in the available claims data. The absence of Medicaid billing limits visibility into safety-net or low-income patient volume and makes Medicare the dominant payer for any analytic or contracting work.

Revenue is highly concentrated in three evaluation-and-management codes: 99223 ($4.6K, 21.1%), 99233 ($3.5K, 16.1%), and 99213 ($3.4K, 15.4%); precomputed figures show these top three codes account for 52.6% of the provider’s Medicare revenue. This concentration means a small set of visit types drives the majority of billed Medicare dollars, so shifts in inpatient/office visit volumes for these codes would materially affect revenue.

The code mix points to a hybrid practice pattern with both hospital-based and ambulatory primary care activity. High-revenue inpatient/observation E/M codes (99223, 99233, 99232 and 99222 appear among the top billers) coexist with outpatient office visits (99213, 99214) and an annual wellness visit code (G0439), suggesting the clinician provides significant inpatient/observation care in addition to outpatient longitudinal visits.

Competitive standing against national peers is modest: 99223 ranks #73937 of 139583 providers (46th percentile) and is described as typical, unremarkable volume for this code; 99233 ranks #93568 of 128818 (27th percentile) and 99213 ranks #249664 of 457151 (45th percentile). These percentiles indicate the provider is not a dominant national biller for its top codes but rather a routine, mid-to-lower-volume participant in those services.

Preventive and basic ancillary services contribute meaningfully but at lower absolute levels: G0439 (annual wellness visit) generated $3K in revenue (13.7%) across 24 claims, indicating a material role for AWVs in the practice mix, while point-of-care labs such as 36415 ($496, 2.3%) and 83036 ($260, 1.2%) appear as small, routine revenue lines. The presence of G0439 at 13.7% of Medicare revenue suggests some focus on Medicare preventive care despite the overall small revenue base.

Although the top codes carry the majority of revenue, the absolute claim counts and payments are modest (for example, 36 claims for 99223 at $129 avg paid/claim and 64 claims for 99213 at $53 avg paid/claim), which points to clinician-level volume rather than system-level throughput. Analysts should interpret these values as reflecting a small-scale provider footprint where individual visit types can swing revenue materially.

The provider has a long NPI tenure—enumerated on 2006-03-18 (~20 years ago)—which indicates sustained enrollment in Medicare for roughly two decades. That tenure can be useful context for attribution and longitudinal analyses even though current billing volumes and revenue are limited.

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$130	$4.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$90	$3.5K
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…	60	$50	$3.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$130	$3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$60	$2.9K
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…	30	$80	$2.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$1.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	60	$10	$500
83036	Sugar 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).…	30	$10	$260

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Benjamin Stenzler — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	13	20	70	$90	$15.4K
G0439	1	10	70	$130	$14K
99213	6	20	60	$60	$10.8K
99232	8	10	140	$70	$9.3K
99223	4	10	50	$140	$7.3K
99222	6	10	10	$100	$3.6K
99233	3	10	20	$110	$2.4K
83036	1	10	150	$10	$1.5K
36415	1	10	30	$10	$290

Benjamin Stenzler — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References