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

Why is the Medicaid comparison limited to Utah 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. Utah (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.

Steven Edgley (NPI 1770537011)

Field	Value
Entity Type	Individual
Organization	Steven Edgley
Address	50 N Medical Dr
City	Salt Lake City
State	UT
ZIP	84132
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicare	$123.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 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…	810	$90	$75.3K
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…	140	$70	$9.8K
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…	70	$130	$8.9K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	100	$70	$7.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	60	$90	$5.3K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	90	$50	$4.6K
64644	The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.	60	$80	$4.2K
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…	50	$60	$3.2K
95873	In this procedure, the provider uses electrical stimulation to identify specific nerves to inject with medication to control various disorders.	170	$20	$2.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$80	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Steven Edgley — 5 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,265	4,080	80	$80	$11.6K
99233	6	700	50	$90	$7.9K
99215	795	1,190	40	$110	$7.5K
99232	476	880	60	$60	$6.1K
99223	95	760	30	$130	$4.9K
64644	1	10	50	$100	$4.8K
64643	1	10	70	$60	$4.7K
64642	1	10	50	$80	$4.6K
99239	106	370	40	$80	$4.4K
95873	1	10	90	$10	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Specialty Services	UT	Maternal & Fetal Medicine Physician	$0	$1.4M
University Of Utah Specialty Services	UT	Physical Medicine & Rehabilitation Physician	$0	$1.1M
William Spiker	UT	Orthopaedic Surgery of the Spine Physician	$119.8K	$0
Christopher Duncan	UT	Physical Medicine & Rehabilitation Physician	$115.3K	$0
Keith Cummings	WA	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$114.1K	$0
Tyler Clark	MT	Physical Medicine & Rehabilitation Physician	$108.1K	$0
Yvonne Hsu	UT	Gynecology Physician	$84.2K	$0
Scott Evans	CO	Diagnostic Radiology Physician	$80.6K	$0
Arlan Henrie	UT	Physical Medicine & Rehabilitation Physician	$76.5K	$0
Graham Wagner	NH	Physical Medicine & Rehabilitation Physician	$69.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah	UT	General Acute Care Hospital	$0	$221.3M
University Of Utah Adult Services	UT	Emergency Medicine Physician	$0	$6.9M
University Of Utah Adult Services	UT	Diagnostic Radiology Physician	$0	$4M
University Of Utah Adult Services	UT	Internal Medicine Physician	$0	$3.5M
University Of Utah Adult Services	UT	Ophthalmology Physician	$0	$3.1M
University Of Utah Pediatric Services	UT	Pediatrics Physician	$0	$3.1M
University Of Utah Adult Services	UT	Anesthesiology Physician	$0	$3M
Dermatology Division University Of Utah Medical Center	UT	Dermatology Physician	$0	$1.4M
University Of Utah Adult Services	UT	Cardiovascular Disease Physician	$0	$1.2M
University Of Utah Adult Services	UT	Anatomic Pathology & Clinical Pathology Physician	$0	$1.1M

Steven Edgley — Billing Profile & Reimbursement Data

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Steven Edgley — 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

Nearby Providers

Frequently Asked Questions

References