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    OpenPayerNPI Medicare & MedicaidBrett Stark
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    Brett Stark — Billing Profile & Reimbursement Data

    NPI 1841203957 · Auburn, AL · Primary Podiatric Medicine Podiatrist

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    Brett Stark is a primary podiatric medicine podiatrist provider located in Auburn, Alabama. This profile covers 14 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
    OrganizationBrett Stark
    Address890 N Dean Rd Ste 400
    CityAuburn
    StateAL
    ZIP36830
    TaxonomyPrimary Podiatric Medicine Podiatrist
    NPI EnumeratedAugust 14, 2006

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

    Payer SourceTotal Paid
    Medicare$63.8K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…600$60$35.2K
    99203The 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…160$70$11.1K
    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$2.8K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.30$110$2.7K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.120$20$2.5K
    76882The provider uses ultrasound for a limited study of one or more nonvascular structures in an extremity. The image appears in real time on a monitor, and a permanent copy is made and documented in the…80$30$2.4K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…30$40$1.2K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.20$80$1.2K
    99214The 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…20$80$1.2K
    11755This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds.  Each one is a separate procedure.10$70$890

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,0237,330120$80$16.8K
    1172199100290$30$12.1K
    992132296,47080$50$7.9K
    992042,1053,75030$100$4.8K
    1175561030$70$3.8K
    11750295030$90$3.6K
    99203722,21030$70$3.1K
    9392210114030$40$2.3K
    11104589020$80$2.2K
    2055010114030$40$1.8K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adapthealth Patient Care Solutions LLCALDurable Medical Equipment & Medical Supplies$0$10M
    East Alabama Pediatric Dentistry & OrthodonticsALPediatric Dentistry$0$9.1M
    Liles Pediatric DentistryALPediatric Dentistry$0$8M
    Maternity Services Of District 11, LLCALExclusive Provider Organization$0$5.8M
    Stopwatch Urgent Care Centers LLCALUrgent Care Clinic/Center$0$3.1M
    Ofs, LLCALOral and Maxillofacial Surgery (Dentist)$0$2.7M
    Liles Family Dentistry, LLCALDental Clinic/Center$0$2.1M
    All For Children, LLCALSpeech-Language Pathologist$0$2.1M
    Auburn TlcALSpeech-Language Pathologist$0$1.9M
    Auburn Pediatric DentistryALPediatric Dentistry$0$1.4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Brett Stark — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama