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    OpenPayerNPI Medicare & MedicaidStephanie Claus
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    Stephanie Claus — Billing Profile & Reimbursement Data

    NPI 1659673036 · Waco, TX · Family Medicine Physician

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    Stephanie Claus is a family medicine physician provider located in Waco, Texas. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephanie Claus
    Address1800 Gurley Lane
    CityWaco
    StateTX
    ZIP76706
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 17, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…50$10$470
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…20$20$300
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.30$10$250
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.20$10$230
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…20$10$180
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…20$10$130
    82042The lab analyst quantitates the albumin in a measured, timed, or random specimen, and reports that quantity. Random means the specimen collection may occur without respect to the time of day. For…10$10$90
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…10$10$60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    844431,4721,69070$20$12.9K
    800611,5951,79090$10$11.6K
    800532,2272,650130$10$10.6K
    850252,4582,910110$10$6.6K
    830361,5212,84050$10$4K
    8004875087040$10$2.9K
    8257096399040$10$2.6K
    82042101020$10$180

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heart Of Texas Community Health Center, IncTXFederally Qualified Health Center (FQHC)$0$92.6M
    Philip McdonaldFLDiagnostic Radiology Physician$444.3K$42.8K
    Adel AbdallaFLDiagnostic Radiology Physician$259.9K$6.1K
    Amit SanghiSCDiagnostic Radiology Physician$99.2K$940
    Matthew PorterTXFamily Medicine Physician$5.9K$0
    Juanita CastilloTXInternal Medicine Physician$2.6K$0
    Carey LapeTXPhysician Assistant$2K$0
    Jeremy KortewegTXFamily Medicine Physician$1.9K$0
    Latrisha SpainTXFamily Medicine Physician$900$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Stephanie Claus — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas