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

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

James Stewart (NPI 1770690794)

Field	Value
Entity Type	Individual
Organization	James Stewart
Address	825 Pikes Peak Ave
City	Colorado Springs
State	CO
ZIP	80903
Taxonomy	Psychologist
NPI Enumerated	August 24, 2006

Payer Source	Total Paid
Medicare	$32.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	390	$30	$11.3K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	130	$80	$10.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	40	$130	$5.5K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	40	$100	$4.4K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	50	$30	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

James Stewart — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	15	40	90	$80	$9.3K
96139	8	30	280	$30	$8.9K
96132	24	60	40	$100	$5K
90791	21	160	20	$110	$3.3K
96138	15	30	50	$30	$1.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado Springs Independence Center	CO	Home Health Agency	$0	$66.6M
Common Roots LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.6M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$7.7M
Iron Horse Pediatrics	CO	Pediatrics Physician	$0	$7.3M
Child Community Services	CO	Clinical Social Worker	$0	$6.6M
Mk Legacy	CO	Developmentally Disabled Services Day Training Agency	$0	$4M
Front Range Endoscopy Centers, LLC	CO	Ambulatory Surgical Clinic/Center	$274.6K	$573.6K
Ronald Pelton	CO	Ophthalmology Physician	$186.1K	$0
Eric Gessner	CO	Foot & Ankle Surgery Podiatrist	$155.9K	$0
Jacob Fassman	CO	Foot & Ankle Surgery Podiatrist	$99.8K	$0

James Stewart — Billing Profile & Reimbursement Data

Sign up for James Stewart — Billing Profile & Reimbursement Data policy alerts

James Stewart — Billing Profile & Reimbursement Data

Sign up for James Stewart — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References