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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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 Wolfe (NPI 1891029609)

Field	Value
Entity Type	Individual
Organization	Stephen Wolfe
Address	1104 E Grace St
City	Rensselaer
State	IN
ZIP	47978
Taxonomy	Neurology Physician
NPI Enumerated	September 25, 2009

Payer Source	Total Paid
Medicare	$7.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$110	$4.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$130	$1.6K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	20	$60	$960
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	20	$30	$820

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Stephen Wolfe — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	1,087	2,730	30	$110	$7.1K
95886	132	150	80	$60	$7K
99205	1,027	1,170	30	$140	$5.1K
95813	5	10	30	$150	$4.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Zhang	IN	Neurology Physician	$121.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Rensselaer, Inc.	IN	Critical Access Hospital	$0	$4.2M
Julian Ungar-sargon	IN	Neurology Physician	$248.1K	$3.6M
Patrick Sheets	IN	Family Medicine Physician	$861.1K	$0
Tyler Emley	IN	Urology Physician	$152.8K	$0
Garry Brady	IN	General Practice Physician	$65.3K	$0
Debra Drescher	IN	Adult Health Nurse Practitioner	$34.5K	$0
Mary Elkins	IN	Family Nurse Practitioner	$32.7K	$0
Robert Darnaby	IN	Family Medicine Physician	$29.3K	$0

Stephen Wolfe — Billing Profile & Reimbursement Data

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Stephen Wolfe — 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