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    OpenPayerNPI Medicare & MedicaidHilary Stamp
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    Hilary Stamp — Billing Profile & Reimbursement Data

    NPI 1932170891 · Apo, AE · Pediatrics Physician

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    Hilary Stamp is a pediatrics physician provider located in Apo, Armed Forces Europe. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHilary Stamp
    AddressRaf Lakenheath 48 Mdg
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09461
    TaxonomyPediatrics Physician
    NPI EnumeratedJanuary 30, 2006

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

    Payer SourceTotal Paid
    Medicaid$19.1K
    Medicare$0

    Key Findings

    HILARY STAMP is a Pediatrics Physician with an NPI enumerated on 2006-01-30 (≈20 years ago), indicating long-standing enrollment in the provider directory; this tenure suggests an established practice presence despite the small volume shown in the available payer data. The provider is based in APO, AE, and the specialty aligns with the clinical services reflected in the billing codes on file.

    This provider has no Medicare billing on file and $19.1K in lifetime Medicaid revenue, so the observable billing footprint is effectively single-payer and concentrated in Medicaid rather than split across Medicare and Medicaid. Any analysis of payer mix should treat this entity as a Medicaid-focused reporter for the period covered.

    Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 94.5% of this provider’s total Medicaid revenue. Those top contributors are 99214 ($9.7K, 50.7%), 99213 ($6.8K, 35.9%), and 90460 ($1.5K, 8.0%), which together dominate the $19.1K Medicaid total and leave only small residual revenue from other codes.

    The code mix (99214, 99213, 90460) indicates a primary-care pediatric practice model centered on office/outpatient evaluation and management for established patients and routine vaccine administration. Smaller line items—S0302 ($603, 3.2%), 96127 ($350, 1.8%), and 94760 ($88, 0.5%)—support a workflow that includes EPSDT screening, brief behavioral assessments, and single oxygen saturation checks, consistent with general pediatric preventive and acute care.

    99214 is the single largest revenue driver at $9.7K (50.7%) but ranks #4 of 5 in-state (25th percentile) with a characterization of "typical, unremarkable volume," so the practice relies on higher-level established-patient visits for revenue while not being a regional leader on that code. This pattern suggests dependence on a moderate number of higher-complexity visits but not dominant market share among peers.

    99213 generates $6.8K (35.9%) and ranks #2 of 5 in-state (67th percentile) with a "typical, unremarkable volume" label, indicating the provider is at or above the median peer volume for lower-complexity established visits. Together with 99214, these two E/M codes form the operational core of the practice’s billing.

    90460 (vaccine administration) contributes $1.5K (8.0%) and is listed as #1 of 1 providers in-state with no state peer volume comparison available (0th percentile), which prevents a clear competitiveness assessment; however, its presence confirms immunization services are a tangible revenue stream for the practice. The single-provider peer reporting on several ancillary codes (S0302, 96127, 94760 all #1 of 1) similarly limits state-level benchmarking.

    The overall Medicaid revenue level ($19.1K) and the high concentration in three codes imply a small-scale Medicaid operation or a limited Medicaid panel; this concentrated revenue profile could affect negotiations or inclusion in payor networks where breadth of service or volume is evaluated. Analysts should treat this provider as a modest participant in the state Medicaid market with a narrow service mix focused on pediatric office visits and routine immunizations.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…90$110$9.7K
    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…130$50$6.8K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.40$40$1.5K
    S0302Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)70$10$600
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.40$10$350
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.40$1$90

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Europe median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…410170$70$32.1K
    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…21030$50$11.3K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.11040$40$1.5K
    S0302Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)11070$10$610
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.11040$10$360
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.11040$1$90

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark HeinoAE (Armed Forces Europe)Family Medicine Physician$31.3K$136.8K
    Joshua LathamAE (Armed Forces Europe)Family Medicine Physician$84.3K$0
    Immacula NezierAE (Armed Forces Europe)Women's Health Nurse Practitioner$68.4K$0
    Delila DonaldsonAE (Armed Forces Europe)Clinical Social Worker$18.2K$36.4K
    Eric ButtersAE (Armed Forces Europe)Family Nurse Practitioner$2.6K$18.5K
    Linda SchemmAE (Armed Forces Europe)Physical Therapist$19.5K$0
    Samuel KjomeAE (Armed Forces Europe)Family Medicine Physician$16.2K$0
    Michelle SangerAE (Armed Forces Europe)Physician Assistant$13.9K$0
    Claire SchmidtAE (Armed Forces Europe)Optometrist$13.8K$0
    Jennifer ChowAE (Armed Forces Europe)Child & Adolescent Psychiatry Physician$10.7K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Armed Forces Europe Providers
    1 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Europe Distribution
    Hilary Stamp — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe