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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Tomasz Stys (NPI 1891790978)

Field	Value
Entity Type	Individual
Organization	Tomasz Stys
Address	1301 W 18th St
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicare	$515.9K
Medicaid	$0

Key Findings

TOMASZ STYS is an interventional cardiology physician in Sioux Falls, SD with an NPI enumerated on 2005-06-16 (~21 years ago). Lifetime Medicare revenue on file is $515.9K and there is no Medicaid billing on file, making this effectively a Medicare-only footprint in the available claims data.

Revenue is concentrated in a small set of office, imaging and procedural codes: the precomputed top-3 Medicare codes (99214, 93306, 92928) account for 41.2% of this provider’s total Medicare revenue. Individually those codes are reported as $90.2K (18.0%) for 99214, $60.5K (12.1%) for 93306, and $55.2K (11.0%) for 92928, confirming a heavy dependence on a mix of E/M, echocardiography, and percutaneous coronary intervention for revenue.

The CPT mix supports an interventional cardiology practice that spans outpatient evaluation/management, high-volume diagnostic imaging, and cath-lab interventions. High-volume office care appears via 99214 (1.3K claims, $67 avg paid/claim, $90.2K revenue), diagnostic imaging via 93306 (1.2K claims, $50 avg paid/claim, $60.5K revenue) and procedurals via 92928 (135 claims, $409 avg paid/claim, $55.2K revenue), and additional procedural depth is shown by codes such as 33361 (TAVR) and 33340 (LAA closure).

The provider’s national competitive standing for several core codes is unusually strong: 99214 is labeled an "extreme outlier" and ranks #5076 of 479517 providers nationally (99th percentile), 93306 also an "extreme outlier" ranks #176 of 24624 (99th percentile), and 92928 is an "extreme outlier" at rank #47 of 5112 (99th percentile). These rankings indicate the provider operates at a much higher national volume for these primary cardiology services than typical peers.

Imaging supervision, interpretation, and stress-testing volumes are particularly outsized relative to peers, implying substantial diagnostic workload and imaging oversight responsibility. For example, 93454 (imaging supervision for coronary angiography) is an "extreme outlier" ranking #6 of 2695 providers nationally (100th percentile), 93016 (stress test supervision) ranks #27 of 10765 (100th percentile; extreme outlier), and 93018 (stress test interpretation) ranks #40 of 11835 (100th percentile; extreme outlier).

Despite several extreme outlier volumes, the practice also bills a range of typical procedure-level codes for structural interventions and device work consistent with a full-service interventional program. Structural/device codes such as 33361 (TAVR, $34.9K revenue, rank #260 of 2679, 90th percentile; typical) and 33340 (LAA closure, $27.9K revenue, rank #236 of 1552, 84th percentile; typical) appear alongside device monitoring and ambulatory rhythm services such as 93294 ($9.5K) and 93227 ($5K, 100th percentile; extreme outlier), indicating follow-up and remote-device management capacity.

Clinical intake and inpatient care are also meaningful to overall activity: 99204 (new patient office visits) generated $26.7K (5.3%) and is an "extreme outlier" (rank #1749 of 227068, 99th percentile), while inpatient/observation E/M codes such as 99232 ($30.3K, 6.1%) and 99223 ($16.1K, 3.2%) show substantive hospital-based evaluation and management work. Together these patterns suggest a steady referral stream for both new outpatient consults and inpatient procedural admissions.

The absence of any Medicaid billing on file ("none below") means this provider’s public-payor exposure is concentrated entirely in Medicare for the dataset available. Analysts should treat Medicaid benchmarking as unavailable and focus competitive and utilization comparisons against Medicare peers where multiple codes are flagged as national outliers.

Medicare: Complete Services Breakdown

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

36 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…	1,350	$70	$90.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,210	$50	$60.5K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	140	$410	$55.2K
93454	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…	240	$150	$36K
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	60	$550	$34.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	500	$60	$30.3K
33340	The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…	50	$570	$27.9K
99204	The 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…	280	$100	$26.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	370	$60	$20.8K
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	290	$70	$19.4K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Tomasz Stys — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33361	5	10	60	$540	$30K
92928	1	20	70	$380	$27.7K
93306	4	60	250	$50	$21.4K
33340	1	10	40	$470	$16.1K
93458	18	30	40	$180	$11.9K
99214	2	1,660	90	$70	$11.4K
99233	264	290	60	$90	$10.8K
99232	35	570	80	$60	$9.2K
78452	3	40	140	$60	$8.6K
93294	8	20	310	$20	$8.2K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Medical Center	SD	General Acute Care Hospital	$0	$24.4M
Sanford Medical Center	SD	Clinical Medical Laboratory	$1.8M	$18M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Sanford Medical Center	SD	Air Ambulance	$0	$11.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Dakota Achieve	SD	Developmental Disabilities Clinic/Center	$0	$166.9M
Dakotabilities	SD	Voluntary or Charitable Agency	$0	$77.8M
Volunteers Of America, Dakotas	SD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Southeastern Behavioral Healthcare	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$59.1M
Resouces For Human Development, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$31.1M
Childrens Dental Center	SD	Pediatric Dentistry	$0	$24M
Avera Mckennan	SD	Family Medicine Physician	$0	$10.6M
Sanford Clinic	SD	Pediatrics Physician	$0	$5.5M
Avera Mckennan	SD	Air Ambulance	$0	$5.3M
Avera Mckennan	SD	Emergency Medicine Physician	$0	$4.1M

Tomasz Stys — Billing Profile & Reimbursement Data

Sign up for Tomasz Stys — Billing Profile & Reimbursement Data policy alerts

Tomasz Stys — Billing Profile & Reimbursement Data

Sign up for Tomasz Stys — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References