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

Why is the Medicaid comparison limited to Vermont 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. Vermont (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 Phipps (NPI 1649265497)

Field	Value
Entity Type	Individual
Organization	Stephen Phipps
Address	1290 Hospital Dr
City	St Johnsbury
State	VT
ZIP	05819
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 19, 2005

Payer Source	Total Paid
Medicare	$386.7K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is modest in absolute terms, with Total Medicare revenue of $386.7K and no Medicaid billing on file; the absence of any Medicaid claims makes the practice effectively single‑payer (Medicare) in the available data. Analysts should treat comparisons and risk-sharing assumptions accordingly because there is no in-state Medicaid activity to evaluate here.

Revenue is highly concentrated in a small set of cataract-related procedures: the precomputed top‑3 Medicare codes account for 69.9% of total Medicare revenue, driven by 66984 ($199.6K, 51.6%), 66982 ($36.5K, 9.4%), and 66821 ($34.4K, 8.9%). This concentration indicates the business is largely driven by cataract extraction and intraocular lens services rather than a diffuse portfolio of ophthalmic procedures.

Procedure mix and code descriptions point to a core surgical cataract practice supported by perioperative services: high‑revenue codes 66984 and 66982 are primary cataract/IOL procedures, while 92136 (641 claims, $18.6K revenue, 4.8%) — labeled notably above typical national volume — represents routine IOL biometry used to plan those surgeries. The presence of substantial E/M billing such as 99204 (186 claims, $18.4K revenue, 4.8%) further supports a workflow that includes new patient evaluations and preoperative assessment.

Competitive standing on the primary cataract code is solid but not dominant: 66984 ranks #2963 of 15965 providers nationally (81th percentile) and is described as typical, unremarkable volume, which suggests the provider operates at a common national scale for cataract surgery rather than being a major regional or national center. The other cataract codes 66982 and 66821 likewise fall in the ~81–83th percentile range and are characterized as typical, unremarkable volumes.

Several codes show relative overperformance versus national peers and may indicate operational strengths in preoperative assessment and new patient intake: 92136 ranks #361 of 8731 providers nationally (96th percentile) and is described as notably above typical national volume, and 99204 ranks in the 97th percentile with the same label. These high percentiles suggest the practice performs biometry and new patient E/M at levels well above most peers, supporting its cataract surgery throughput.

There is measurable activity in peripheral nerve procedures that sits at higher percentiles within small national cohorts: 64708 (137 claims, $26.6K revenue, 6.9%) ranks #15 of 109 providers (87th percentile) and 64727 (137 claims, $18.5K revenue, 4.8%) ranks #16 of 72 providers (79th percentile); both are labeled typical, unremarkable volume but their high ranks within limited provider pools indicate the provider performs these procedures at above‑average frequency relative to that specialized subset. This pattern merits attention because those codes are outside the core cataract set and suggest either a broader surgical scope or billing of non‑ophthalmic procedures.

Other procedural lines are infrequent: glaucoma laser 65855 appears only 13 times for $2.9K revenue and ranks #2686 of 2796 providers (2th percentile), a value labeled typical, unremarkable volume that nonetheless indicates very low relative activity for that specific procedure. Routine ophthalmic exam code 92014 is also below median peer volume (38th percentile), reinforcing that the practice’s revenue is not driven by high volumes of comprehensive office exams but by surgical cases and related diagnostics.

The provider has an established billing tenure, with the NPI enumerated on 2005-09-19 (~21 years ago), which supports interpreting current patterns as the output of a long‑running practice rather than a newly established or transitional operation. For payers and competitors, that tenure combined with concentrated cataract revenue and elevated biometry/new‑patient activity identifies a stable, surgery‑focused practice profile to target for network contracting or utilization reviews.

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
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	490	$410	$199.6K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	60	$570	$36.5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	120	$290	$34.4K
64708	In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a major peripheral nerve in an arm or leg, and at a location other than…	140	$190	$26.6K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	640	$30	$18.6K
64727	The provider excises scar tissue from within and between the nerve fibers in the protective nerve sheath using an operating microscope and microsurgical techniques. This procedure may be done during…	140	$140	$18.5K
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…	190	$100	$18.4K
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…	140	$80	$11.7K
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…	140	$60	$7.6K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	80	$70	$6K

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. Vermont Distribution

Stephen Phipps — 3 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	5	20	180	$210	$121.4K
64708	1	10	140	$190	$26.6K
66982	2	10	30	$630	$21.3K
92014	82	100	200	$80	$19.6K
64727	1	10	140	$140	$18.5K
66821	1	20	50	$250	$13.2K
99214	358	960	90	$70	$10.6K
99213	289	910	80	$50	$6.7K
92136	1	20	180	$30	$5.6K
92134	58	90	50	$20	$4.3K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Littleton Hospital Association	NH	Critical Access Hospital	$0	$5.2M
Littleton Hospital Association	NH	Rural Health Clinic/Center	$0	$3.4M
Shippee Family Eye Care PC	VT	Optometrist	$0	$1M
Ronald Kubica	NM	Medical Oncology Physician	$1M	$0
Steven Wetzner	MA	Diagnostic Radiology Physician	$839.7K	$0
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Optical Expressions Berlin, LLC	VT	Optometrist	$0	$402.3K
Garrett Caputo	CO	Emergency Medicine Physician	$283.8K	$0
David Kimball	GA	Diagnostic Radiology Physician	$261K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darren Boles Dds PLLC	VT	Dental Clinic/Center	$0	$5.2M
Baart Behavioral Health Services, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$559K	$3.5M
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$3.4M
Northeastern Vermont Regional Hospital, Inc	VT	Primary Care Clinic/Center	$0	$2.8M
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$2.5M
Caledonia-essex Area Ambulance Service, Inc.	VT	Land Ambulance	$406.4K	$1.6M
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$1.8M
Northeastern Vermont Regional Hospital, Inc	VT	Rural Health Clinic/Center	$0	$1.3M
Northern Counties Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$1.3M
Jason Parks	VT	Radiation Oncology Physician	$1.2M	$0

Stephen Phipps — 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