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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Nakada (NPI 1801851415)

Stephen Nakada is a urology physician provider located in Madison, Wisconsin. This profile covers 10 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Stephen Nakada
Address	600 Highland Ave
City	Madison
State	WI
ZIP	53792
Taxonomy	Urology Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicare	$38.9K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	40	$310	$11.4K
50081	The provider removes one or more stones from the kidney, renal pelvis, or ureter using an antegrade (“downhill”) percutaneous approach. The provider uses imaging guidance and may place a stent and…	10	$820	$9K
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…	150	$40	$6.4K
52310	The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…	40	$100	$3.6K
99203	The provider sees a new 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 provider…	50	$60	$2.6K
52332	The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$110	$2.1K
99443	N/A	20	$60	$1.5K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	20	$60	$1K
52005	The provider performs a cystourethroscopy, inspection of the interior areas of the bladder, urethra, and ureteric pelvis; he may or may not irrigate the bladder, instill fluids, or perform imaging of…	10	$60	$630
74420	The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…	30	$20	$520

Stephen Nakada — Billing Profile & Reimbursement Data

Sign up for Stephen Nakada — Billing Profile & Reimbursement Data policy alerts

Stephen Nakada — Billing Profile & Reimbursement Data

Sign up for Stephen Nakada — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
50081	2	10	20	$830	$12.4K
52000	142	160	70	$120	$8.8K
52356	4	60	20	$410	$8.7K
99213	1,508	9,380	60	$50	$4.7K
52310	5	50	20	$190	$4K
99443	71	180	20	$70	$2.6K
52332	42	90	20	$120	$2.6K
99203	731	2,820	30	$60	$2.4K
52005	5	10	10	$70	$970
74420	11	50	20	$20	$450