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

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

Stefano Emili (NPI 1558319434)

Key Findings

Field	Value
Entity Type	Individual
Organization	Stefano Emili
Address	3260 Providence Dr Ste 528
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Nephrology Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicare	$425K
Medicaid	$0

The provider’s billing mix is strongly focused on ESRD and dialysis management: the top Medicare codes are dominated by ESRD monthly-management and dialysis procedure codes (examples include 90960, 90966, 90961, 90970, 90935 and 90945), and the single largest code 90960 alone accounts for $233.9K (55.1% of Medicare revenue). Code descriptions indicate repeated face-to-face monthly management and hemodialysis-related services, consistent with a practice that delivers longitudinal ESRD care rather than one-off consults.

Revenue is highly concentrated in a very small set of services: the precomputed top-three Medicare codes together account for 72.1% of this provider’s total Medicare revenue. Those top three are 90960 ($233.9K, 55.1%), 90966 ($36.2K, 8.5%) and 90961 ($36.1K, 8.5%), indicating most Medicare dollars derive from recurring ESRD management codes rather than general office visits.

This provider is effectively single‑payer from an active-billing perspective: total Medicare revenue is $425K while Medicaid shows none (no Medicaid billing on file). Because Medicaid billing is absent, the provider’s commercial/Medicaid exposure is minimal on record and Medicare payment policy or shifts in ESRD reimbursement will disproportionately affect overall revenue.

For competitive standing and statistical outliers, 90960 is a clear national outlier: it ranks #58 of 6549 providers nationally (99th percentile; extreme outlier), signaling unusually high national volume on that single ESRD-management code. Other dialysis-related codes show elevated standing as well — 90945 ranks #51 of 1243 (96th percentile; notably above typical national volume) — while companion codes 90966 and 90961 are characterized as typical, unremarkable volume at their respective national ranks.

Operationally there is a mix of very high-frequency, low-unit-payment activity alongside higher-value monthly-management codes: 90970 shows 1.2K claims at $9 avg paid/claim producing $10.8K (2.6% of Medicare revenue), whereas 90960 produces $233.9K on 676 claims at $346 avg paid/claim. This pattern suggests day-to-day dialysis-related entries or frequent short services contribute many claims but a small share of revenue, while a smaller set of monthly-management encounters drive the bulk of dollars.

The provider also maintains a pipeline of inpatient and outpatient evaluation-and-management work alongside dialysis services: 99214 (248 claims, $19.6K, 4.6%), 99233 (145 claims, $18.1K, 4.3%) and 99223 (73 claims, $13.4K, 3.2%) together indicate routine office visits and higher-acuity hospital follow-ups are a meaningful secondary revenue stream. That mix is consistent with nephrology practice patterns that combine clinic-based management with inpatient consults.

The provider’s NPI was enumerated on 2006-05-04 (~20 years ago), indicating long tenure in the Medicare program. This multi-decade presence aligns with the concentrated ESRD service profile and suggests an established referral and care-delivery relationship for dialysis patients.

Because the top three codes drive 72.1% of Medicare revenue and the single code 90960 represents 55.1% of Medicare revenue, the provider’s financial profile is highly sensitive to reimbursement or policy changes targeted at ESRD/dialysis management codes. Payer-contracting or regulatory shifts affecting those specific codes would have outsized impact on overall revenue performance.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	680	$350	$233.9K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	120	$290	$36.2K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	130	$280	$36.1K
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…	250	$80	$19.6K
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…	150	$130	$18.1K
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…	70	$180	$13.4K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	170	$80	$12.8K
90970	The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…	1,210	$10	$10.8K
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…	120	$80	$10.3K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	110	$90	$10.1K

Showing 1–10 of 17

Stefano Emili — 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

Related Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	1	10	480	$350	$182K
90961	3	10	130	$290	$57.7K
90966	3	10	120	$310	$42.2K
99233	56	190	80	$120	$17.1K
99214	244	1,210	90	$100	$16.2K
90935	6	10	240	$70	$16.1K
99232	98	280	80	$80	$14K
90945	5	10	130	$90	$11.6K
99215	227	400	40	$150	$11K
90970	1	10	1,210	$10	$10.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dialysis Associates Of Alaska, LLC	AK	Nephrology Physician	$0	$2M
David Lefler	AK	Nephrology Physician	$467.5K	$0
Shuang Ying Bao	AK	Nephrology Physician	$421.6K	$0
Thuy-trang Ngo	AK	Internal Medicine Physician	$345.8K	$0
Lisa Roberts	AK	Nephrology Physician	$185.5K	$0
Mark Smith	AK	Nephrology Physician	$144.3K	$0
Jeremy Gitomer	AK	Nephrology Physician	$130.3K	$0