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

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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 Brown (NPI 1649353210)

Field	Value
Entity Type	Individual
Organization	Stephen Brown
Address	2417 E 15th St
City	Casper
State	WY
ZIP	82609
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Key Findings

Provider profile and tenure: STEPHEN BROWN is a Child & Adolescent Psychiatry Physician based in CASPER, WY with an NPI enumerated on 2006-10-24 (~20 years ago). The provider’s recorded lifetime Medicare revenue is none (no Medicare billing on file), while lifetime Medicaid revenue is $2.4M, indicating an established practice that primarily bills Medicaid in the available records.

Revenue concentration: this provider’s Medicaid income is highly concentrated — the precomputed top 3 Medicaid codes account for 97.8% of the provider’s total Medicaid revenue. The top three contributors are 99233 ($1.8M, 73.7% of Medicaid revenue), 90833 ($515.6K, 21.6%), and 99223 ($57.4K, 2.4%), which together form the overwhelming majority of reported Medicaid receipts.

Service-line implication — inpatient/observation focus with psychotherapy add-ons: the dominant code 99233 (18.3K claims, $96 avg paid/claim) is a subsequent hospital inpatient/observation E/M, and 99223 (330 claims, $174 avg paid/claim) is an initial hospital inpatient/observation E/M. The large volume of 90833 (18.4K claims, $28 avg paid/claim), a psychotherapy add-on to E/M sessions, indicates the provider commonly pairs psychotherapy with inpatient E/M encounters, suggesting operations concentrated on hospital/observation settings where time-intensive E/M plus psychotherapy are delivered.

High-volume, low-per-claim payment profile: 99233 and 90833 together show very large claim counts (18.3K and 18.4K claims respectively) with relatively modest avg paid/claim ($96 and $28 respectively), pointing to a high-volume service model that relies on many encounters rather than high per-claim reimbursement. This claim mix is consistent with frequent follow-up inpatient visits and psychotherapy add-ons rather than a low-frequency, high-fee outpatient specialty model.

State competitive standing — dominance on key codes: for 99233 the provider ranks #1 of 10 in-state (100th percentile; notably above typical state volume), and for 90833 the provider ranks #1 of 16 in-state (100th percentile; notably above typical state volume). Those rank/percentile indicators show STEPHEN BROWN is a dominant statewide provider for both subsequent inpatient E/M visits and psychotherapy add-on services.

Moderate or unremarkable standing on other codes: codes that make up the remaining Medicaid revenue show typical to modest participation — 99223 ranks #4 of 6 (40th percentile; typical, unremarkable volume), 99232 (493 claims, $63 avg paid/claim, $31.1K revenue) ranks #5 of 15 (71th percentile; typical, unremarkable volume), and 90838 ranks #2 of 3 (50th percentile; typical, unremarkable volume). These placements indicate the provider’s outlier status is concentrated in a narrow set of high-volume codes rather than broad superiority across many service lines.

Payer-mix implication: with no Medicare billing on file and $2.4M in Medicaid revenue, the provider’s recorded activity is effectively single-payer (Medicaid) in scale. This concentrated payer exposure means changes in Medicaid policy, reimbursement rates, or utilization review for the dominant codes (99233 and 90833) would materially affect the provider’s topline.

Operational and financial risk note: because 97.8% of Medicaid revenue is tied to the top three codes, the practice has limited diversification of billed services in the recorded data. That concentration creates sensitivity to reimbursement changes, utilization management, or coding policy adjustments affecting 99233 and 90833, and suggests analysts should monitor those codes closely when assessing revenue stability or negotiating rates.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	18,330	$100	$1.8M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	18,410	$30	$515.6K
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…	330	$170	$57.4K
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…	490	$60	$31.1K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	160	$70	$11.3K
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…	100	$90	$8.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$160	$2.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wyoming Distribution

Stephen Brown — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1	10	310	$80	$275.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1	20	530	$40	$129.4K
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…	165	220	400	$50	$79.3K
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…	4	10	350	$110	$66.7K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	2	10	160	$60	$35.9K
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…	5	20	210	$20	$16.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	27	30	30	$100	$10.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
Jennifer Frausto	WY	Psychiatric/Mental Health Nurse Practitioner	$40.6K	$306.5K
Teecee Hailey-fulfer	WY	Psychiatric/Mental Health Nurse Practitioner	$19.9K	$133.8K
Kelly Plessman	WY	Family Nurse Practitioner	$61.2K	$0
Harbans Hans	OK	Psychiatry Physician	$42.1K	$0
Jenny Lok	WY	Occupational Therapist	$17.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Community Action Programs Of Wyoming, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$25.8M
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Casper Children's Center, LLC	WY	Pediatrics Physician	$0	$4M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
2nd Street Dental, LLC	WY	Dental Clinic/Center	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Surfin Smiles LLC	WY	Pediatric Dentistry	$0	$2M
Elie Fahed	WY	Medical Oncology Physician	$1.9M	$0
Robert Peterson	WY	School Psychologist	$0	$1.9M

Stephen Brown — Billing Profile & Reimbursement Data

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Stephen Brown — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References