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

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

Edwin Stone (NPI 1548373301)

Field	Value
Entity Type	Individual
Organization	Edwin Stone
Address	27177 Lahser Rd Ste 100
City	Southfield
State	MI
ZIP	48034
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicare	$70.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	530	$60	$32.5K
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…	280	$60	$16.9K
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…	90	$90	$8K
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	$90	$6.2K
84311	The lab analyst performs a test by spectrophotometry to measure an analyte not elsewhere specified in another code.	540	$10	$4.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$130	$1.9K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	30	$20	$380

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Edwin Stone — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80307	20	120	130	$60	$21.3K
99349	320	540	90	$80	$17.9K
99214	7,483	15,470	80	$80	$11.4K
99213	1,444	14,810	60	$60	$6.6K
G0439	3,687	4,100	50	$100	$6.6K
84311	1	10	540	$10	$4.3K
99406	138	290	20	$10	$560

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pro Care Unlimited, LLC	MI	Home Health Agency	$0	$216M
Coordinated Community Living	MI	Home Health Agency	$0	$85.8M
Vhs Physicians Of Michigan	MI	Internal Medicine Physician	$0	$73.9M
Angels' Place	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18.1M
North West Labs, Inc.	MI	Clinical Medical Laboratory	$1.4M	$10.9M
Great Lakes Surgical Center LLC	MI	Ambulatory Surgical Clinic/Center	$82.6K	$4M
City Of Southfield	MI	Ambulance	$845.3K	$1.8M
Biogenetics Laboratories, Inc.	MI	Clinical Medical Laboratory	$648.4K	$1.9M
Michael Ober	MI	Ophthalmology Physician	$1.8M	$0
Robert Scribner	MI	Gerontology Nurse Practitioner	$1.5M	$0

Edwin Stone — Billing Profile & Reimbursement Data

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Edwin Stone — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References