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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Matthew Stanley (NPI 1689646168)

Field	Value
Entity Type	Individual
Organization	Matthew Stanley
Address	4400 W 69th St
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	Psychiatry Physician
NPI Enumerated	February 7, 2006

Payer Source	Total Paid
Medicare	$3.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	50	$70	$3.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Matthew Stanley — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90870	4	10	120	$80	$11.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acoma-canoncito-laguna Indian Health Center	NM	Health Service Clinic/Center	$0	$1.6M
Hans Yehnert	TN	Nephrology Physician	$358.5K	$0
Emily Rothman	NM	Family Medicine Physician	$39.1K	$0
James Urbina	ME	Internal Medicine Physician	$28.7K	$0
Raschid Ghoorahoo	NC	Nurse Practitioner	$21.2K	$0
Richard Beevers	VI	Family Nurse Practitioner	$13.1K	$0
Sheryl O'shea	NM	Family Medicine Physician	$2.4K	$0

Matthew Stanley — Billing Profile & Reimbursement Data

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Matthew Stanley — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References