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

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

Stephen Price (NPI 1609840438)

Field	Value
Entity Type	Individual
Organization	Stephen Price
Address	3444 Masonic
City	Alexandria
State	LA
ZIP	71301
Taxonomy	Physician Assistant
NPI Enumerated	February 16, 2006

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

This provider bills almost exclusively to Medicare with total Medicare revenue of $3.4M and no Medicaid billing on file, making them effectively a single‑payer Medicare provider in the available data. The NPI was enumerated on 2006-02-16 (~20 years ago), indicating long tenure in the Medicare program.

Revenue is highly concentrated: the top 3 Medicare codes by revenue account for 93.5% of this provider's total Medicare revenue. The largest contributors are Q4262 ($1.9M, 57.7% of this provider's total Medicare revenue), Q4253 ($1.1M, 33.5% of this provider's total Medicare revenue), and 11042 ($75.8K, 2.3% of this provider's total Medicare revenue).

The code mix indicates a wound‑care and biologic graft/skin substitute specialty operation: Q4262 (dual layer impax membrane) and Q4253 (Zenith amniotic membrane) together drive the majority of revenue and the roster of other billed codes (15271, 15275, 97610, 29581, and debridement 11042) are all consistent with focused wound management and advanced biologic dressing use. Claim volumes for those lead codes are substantial — Q4262 has 2K claims and Q4253 has 1.8K claims — supporting an operational emphasis on frequent application of these products.

Competitive standing on the two highest revenue products is active but not dominant: Q4262 ranks #49 of 141 providers nationally (66th percentile; typical, unremarkable volume for this code) and Q4253 ranks #34 of 73 providers nationally (54th percentile; typical, unremarkable volume for this code). Those percentiles suggest the provider is a meaningful regional participant for these amniotic/impax membrane products but not a top national outlier.

A notable procedural outlier appears in debridement: 11042 ranks #172 of 10712 providers nationally (98th percentile; notably above typical national volume) despite representing only $75.8K (2.3%) of Medicare revenue. This indicates exceptionally high procedural volume for debridement relative to peers, even though it contributes a small share of overall dollars compared with the biologic membrane products.

Evaluation-and-management activity is relatively high for established-patient visits: 99213 (631 claims, $35.3K, 1.1% of revenue) ranks #17618 of 457151 providers nationally (96th percentile; notably above typical national volume) and 99214 (424 claims, $34.3K, 1.0% of revenue) ranks #63543 of 479517 providers nationally (87th percentile; typical, unremarkable volume). Together these statistics suggest steady outpatient follow‑up and visit throughput supporting the wound-care service line.

Drug administration shows a large claim count but modest revenue: J0875 has 6K claims for $66K (2.0% of revenue) and ranks #64 of 107 providers nationally (38th percentile; typical, unremarkable volume). The combination of high claim counts with low average paid per claim indicates frequent, low‑priced administrations rather than a major drug‑revenue driver.

Several ancillary codes sit at low or mid percentiles (for example 97610 at the 34th percentile, 29581 at the 35th percentile, 96365 at the 26th percentile, and 17250 at the 7th percentile), which suggests the provider’s practice is narrowly focused on a specific wound‑care product and debridement workflow rather than a broad set of generalist procedures. The overall pattern is concentrated product usage with a smaller set of supporting services and typical-to-low national comparative volumes across most ancillary codes.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,960	$990	$1.9M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,760	$640	$1.1M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	980	$80	$75.8K
J0875	Injection, dalbavancin, 5 mg	6,000	$10	$66K
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…	630	$60	$35.3K
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…	420	$80	$34.3K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	100	$270	$27.3K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	490	$30	$12.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	$120	$12.1K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	90	$100	$8.9K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Stephen Price — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	3	10	1,100	$1,000	$1.4M
Q4253	2	10	1,700	$690	$1.1M
J0875	2	10	6,000	$10	$70.1K
99214	919	6,670	110	$80	$16.5K
97610	2	20	50	$270	$14.7K
17250	32	30	60	$30	$11.3K
11042	3	200	80	$60	$10.2K
99215	313	1,650	40	$110	$8.4K
99213	236	6,060	70	$50	$8.1K
15275	9	20	70	$100	$7.2K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christus Health Central Louisiana	LA	General Acute Care Hospital	$0	$30.1M
Rapides Healthcare System, L.L.C.	LA	General Acute Care Hospital	$0	$26.9M
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
Christus Health Central Louisiana	LA	Critical Access Hospital Clinic/Center	$0	$6.2M
Blandon Sorrell	LA	Family Nurse Practitioner	$6.2M	$0
Wound Care Associates LLC	LA	Specialist	$0	$5.6M
Christus Health Central Louisiana	LA	Critical Access Hospital	$0	$4.9M
Shanda Jackson	LA	Family Nurse Practitioner	$4M	$0
James Russo	LA	Radiation Oncology Physician	$3.5M	$0
Jyothi Mallepalli	LA	Rheumatology Physician	$3.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acs Primary Care Physicians Louisiana PC	LA	Emergency Medicine Physician	$0	$20.6M
Radiology Associates Of Southwest Louisiana	LA	Diagnostic Radiology Physician	$0	$18.4M
Eckerd Youth Alternatives, Inc. Dba Eckerd Connects	LA	Community/Behavioral Health Agency	$0	$11.8M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M
Rapides Assoc For Retarded Citizens	LA	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Shahid Mansoor Md, Apmc	LA	Pediatrics Physician	$0	$8.2M
Cenla Children's Clinic & Associates	LA	Specialist	$0	$7.6M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$6.1M
Shahid Mansoor, M.d. A Professional Medical Corporation	LA	Rural Health Clinic/Center	$0	$6M
Rehab Services Of Cenla	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.9M

Stephen Price — 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

Nearby Providers

Frequently Asked Questions

References