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

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

Douglas Stephey (NPI 1649290123)

Field	Value
Entity Type	Individual
Organization	Douglas Stephey
Address	208 W Badillo St
City	Covina
State	CA
ZIP	91723
Taxonomy	Optometrist
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicare	$44.1K
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
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	810	$40	$28.5K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	90	$80	$6.5K
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…	40	$90	$3.3K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	50	$50	$2.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	20	$90	$1.7K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	20	$50	$870
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$50	$710

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. California Distribution

Douglas Stephey — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	2,213	2,890	110	$100	$28.7K
92012	988	1,620	150	$70	$23.6K
92004	1,558	1,950	50	$110	$9.7K
92065	1	10	190	$30	$9.6K
92083	1,199	1,960	70	$50	$7K
92060	141	180	30	$50	$4.1K
99212	6,578	7,970	30	$40	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Srikant Duggirala	CA	Clinical Cardiac Electrophysiology Physician	$600.7K	$0
Saeed Jaffer	CA	Dermatology Physician	$482.6K	$0
Fahed Bitar	CA	Interventional Cardiology Physician	$420.2K	$0
Zahida Bhutto	CA	Cardiovascular Disease Physician	$221.6K	$165.8K
Henry Hung	CA	Internal Medicine Physician	$368K	$0
James Williams	CA	Otolaryngology Physician	$322.4K	$0
Dharmesh Mehta	CA	Interventional Pain Medicine Physician	$305.8K	$390
Shahnawaz Jaffer	CA	Gastroenterology Physician	$276.8K	$0
Avinash Khitri	CA	Interventional Cardiology Physician	$263.9K	$0
William Sauve	CA	Psychiatry Physician	$197.8K	$0

Douglas Stephey — Billing Profile & Reimbursement Data

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Douglas Stephey — 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