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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Malone (NPI 1639129406)

Field	Value
Entity Type	Individual
Organization	Stephen Malone
Address	2979 Squalicum Pkwy
City	Bellingham
State	WA
ZIP	98225
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicare	$40.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	270	$60	$17.3K
99203	The provider sees a new 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 provider…	160	$80	$12.6K
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…	50	$90	$4.6K
99204	The provider sees a new 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 provider…	30	$130	$4.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	340	$10	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Stephen Malone — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,603	10,860	100	$80	$13.6K
99213	892	9,690	60	$60	$6.5K
99204	2,207	4,750	30	$110	$5.2K
99203	122	3,140	30	$70	$3.3K
93005	5	530	20	$1	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
St. Peter's Health	MT	Family Medicine Physician	$0	$5.2M
St. Peter's Health	MT	General Acute Care Hospital	$0	$4.2M
St Peters Community Hospital	MT	Multi-Specialty Clinic/Center	$0	$2.6M
St. Peter's Hospital	MT	Ambulance	$0	$1.6M

Stephen Malone — Billing Profile & Reimbursement Data

Sign up for Stephen Malone — Billing Profile & Reimbursement Data policy alerts

Stephen Malone — Billing Profile & Reimbursement Data

Sign up for Stephen Malone — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References