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    v1.0.28
    OpenPayerNPI Medicare & MedicaidStephen Propatier
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    Stephen Propatier — Billing Profile & Reimbursement Data

    NPI 1851447486 · Providence, RI · Nurse Practitioner

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    Stephen Propatier is a nurse practitioner provider located in Providence, Rhode Island. This profile covers 12 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
    OrganizationStephen Propatier
    Address2 Dudley St
    CityProvidence
    StateRI
    ZIP02905
    TaxonomyNurse Practitioner
    NPI EnumeratedJanuary 26, 2007

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

    Payer SourceTotal Paid
    Medicare$96.4K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose310$100$31K
    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…530$60$28.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…410$40$17.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.250$30$7.3K
    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…70$70$4.5K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…90$30$2.9K
    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$1.3K
    73522In this diagnostic procedure, the provider takes three to four X–ray images of both hips, left and right, from different projections (directions or angles) to check for fracture, swelling, or other…30$40$1.2K
    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…10$80$920
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…10$40$510

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7324110170$100$16.9K
    992141,8381,950100$80$11.7K
    99213701,95070$60$7.4K
    20610311060$50$4.6K
    9920470674030$110$4.6K
    9920311758030$70$3.6K
    9921233237030$40$2.2K
    73562713050$20$1.8K
    735023915050$20$1.5K
    7303016217040$20$1.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Orthopedics, Inc.RIOrthopaedic Surgery Physician$0$5.3M
    University Orthopedics, Inc.RIAmbulatory Surgical Clinic/Center$727.3K$7.8K
    Jeffrey FedenRIEmergency Medicine Physician$35.2K$674.7K
    Zachary BohartMAPhysical Medicine & Rehabilitation Physician$645.1K$5.9K
    Adam StarrNCOrthopaedic Hand Surgery Physician$579.7K$430
    Uoi East Bay Surgery Center LLCRIAmbulatory Surgical Clinic/Center$552.9K$0
    Stephanie WheelerRIPhysical Therapist$19.9K$441.7K
    Anand PatelNJOrthopaedic Surgery Physician$442.7K$0
    Christopher GlezosCAOrthopaedic Surgery Physician$422.2K$0
    Alan DanielsRIOrthopaedic Surgery Physician$361.4K$0

    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. Rhode Island Distribution
    Stephen Propatier — 4 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island