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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Michael Stephens (NPI 1861435869)

Field	Value
Entity Type	Individual
Organization	Michael Stephens
Address	11200 Governor Manly Way Ste 309
City	Raleigh
State	NC
ZIP	27614
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicare	$107.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,390	$70	$98.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	320	$10	$3.8K
20610	In 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…	50	$40	$2.2K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	50	$30	$1.5K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	450	$1	$450
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	50	$10	$400
J1885	Injection, ketorolac tromethamine, per 15 mg	210	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Michael Stephens — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	76	18,060	110	$80	$15.1K
20610	858	1,620	60	$50	$5.1K
20552	44	200	30	$30	$1.4K
80305	6	210	40	$10	$970
96372	1,225	2,690	50	$10	$750
J3301	496	1,820	190	$1	$370
J1885	34	360	70	$1	$50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrew Moran	NC	Diagnostic Radiology Physician	$751.8K	$0
Gregory Bortoff	NC	Diagnostic Radiology Physician	$587.7K	$0
Michelle Fegeley	NC	Physician Assistant	$396.1K	$0
Todd Roth	NC	Diagnostic Radiology Physician	$384K	$0
Jerry Watson	NC	Diagnostic Radiology Physician	$358.4K	$0
John Alley	NC	Diagnostic Radiology Physician	$293.4K	$0
Derek Watson	NC	Physical Medicine & Rehabilitation Physician	$220.7K	$0
Clifford Wheeless	NC	Orthopaedic Surgery Physician	$210.7K	$0
Satish Mathan	NC	Diagnostic Radiology Physician	$207.9K	$0
Mark Perlmutter	NC	Orthopaedic Hand Surgery Physician	$205.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johnson & Morris PLLC	NC	Pediatric Dentistry	$0	$15M
Touchstone Residential Services	NC	Community/Behavioral Health Agency	$0	$14.9M
Abilitations Children's Therapy & Wellness Center	NC	Physical Therapist	$0	$7.3M
Rex Surgery Center Of Wakefield, LLC	NC	Ambulatory Surgical Clinic/Center	$545.5K	$141.3K
David Michel	NC	Rheumatology Physician	$332.4K	$0
Orthonc Asc, LLC	NC	Ambulatory Surgical Clinic/Center	$301.3K	$0
Lavinia Reyes	NC	Internal Medicine Physician	$231.4K	$0
Carl Smith	NC	Physical Medicine & Rehabilitation Physician	$189.1K	$0
Audrey Echt	NC	MOHS-Micrographic Surgery Physician	$156.3K	$0
Andrew Ghassemian	NC	Dermatology Physician	$152.8K	$0

Michael Stephens — Billing Profile & Reimbursement Data

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Michael Stephens — 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