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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Renzi (NPI 1760456214)

Field	Value
Entity Type	Individual
Organization	Stephen Renzi
Address	160 S Railroad St
City	Troy
State	PA
ZIP	16947
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 13, 2006

Payer Source	Total Paid
Medicare	$265.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,070	$90	$91K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	830	$60	$46.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	200	$120	$24.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	290	$70	$20.6K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	60	$210	$12.8K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	290	$40	$10K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	210	$50	$9.5K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	270	$40	$9.3K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	50	$160	$7.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	770	$10	$6.1K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Stephen Renzi — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	215	23,230	100	$80	$14.5K
99490	214	510	170	$40	$12.6K
99457	27	150	100	$40	$10K
G0439	512	5,250	60	$110	$9.5K
99454	25	150	100	$40	$8.5K
99213	310	22,370	70	$60	$7.7K
99439	282	300	100	$30	$7.2K
20610	676	1,980	60	$50	$6.7K
99204	8,233	10,290	30	$110	$5K
99496	25	990	20	$180	$4.3K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Navin Kumar Subrayappa	PA	Cardiovascular Disease Physician	$145K	$150
Kristine Tofts	PA	Family Medicine Physician	$114.7K	$2.4K

Stephen Renzi — Billing Profile & Reimbursement Data

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Stephen Renzi — 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