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    OpenPayerNPI Medicare & MedicaidScott Stephan
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    Scott Stephan — Billing Profile & Reimbursement Data

    NPI 1689905853 · Laguna Woods, CA · Orthopaedic Surgery Physician

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    Scott Stephan is a orthopaedic surgery physician provider located in Laguna Woods, California. This profile covers 4 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Stephan
    Address24331 El Toro Rd
    CityLaguna Woods
    StateCA
    ZIP92637
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJanuary 27, 2010

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

    Payer SourceTotal Paid
    Medicare$7.6K
    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99204The 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…30$110$3.4K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…20$150$2.8K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$30$830
    64772The provider severs or removes other spinal nerves that are not identified in other codes within CPT®.20$30$590

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744758082030$1,110$48.9K
    9920411,03719,36040$120$7.2K
    6477271020$260$7K
    735641,1571,61040$30$2.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Erik SpaydeCAOrthopaedic Surgery Physician$2.2M$0
    Farshad MalekmehrCAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$1.6M$0
    Ramin GanjianpourCASpecialist$1.2M$9.4K
    Jason LiauwCANeurological Surgery Physician$668.2K$0
    Michael VercilloCAOrthopaedic Surgery Physician$537.9K$0
    Jason HoferCAOrthopaedic Surgery Physician$439.1K$0
    Devinder KumarCAPain Medicine (Anesthesiology) Physician$393.6K$0
    Eli BaronCANeurological Surgery Physician$323.1K$0
    Stephen GardnerCAOrthopaedic Surgery Physician$303.1K$0
    Mehul TaylorCAOrthopaedic Surgery Physician$300.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Alder CorporationCAAdult Day Care Clinic/Center$0$22.5M
    Maraya AltuwaijriCAVascular Surgery Physician$508.2K$0
    Abraham KimCAAdult Reconstructive Orthopaedic Surgery Physician$338.6K$0
    Lonnie MoskowCAOrthopaedic Hand Surgery Physician$214.9K$40
    Ari YouderianCAOrthopaedic Surgery Physician$206.2K$210
    Arash AminianCAOrthopaedic Foot and Ankle Surgery Physician$134.9K$600
    Joshua IcasasCAPhysician Assistant$7.9K$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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Scott Stephan — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California