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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Stevens
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    Michael Stevens — Billing Profile & Reimbursement Data

    NPI 1932198793 · San Mateo, CA · Rheumatology Physician

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    Michael Stevens is a rheumatology physician provider located in San Mateo, California. This profile covers 10 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
    OrganizationMichael Stevens
    Address101 S San Mateo Dr
    CitySan Mateo
    StateCA
    ZIP94401
    TaxonomyRheumatology Physician
    NPI EnumeratedOctober 14, 2005

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

    Payer SourceTotal Paid
    Medicare$561.3K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use34,650$10$381.1K
    J0897Injection, denosumab, 1 mg6,180$20$111.2K
    99215The 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…170$160$27.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.310$70$21.3K
    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…130$110$14K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…90$140$12.8K
    99205The 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…30$190$5.2K
    96372A 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…120$10$1.7K
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…30$30$900
    J3489Injection, zoledronic acid, 1 mg100$10$670

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J160297011,550$10$167.1K
    J08972611,0303,060$20$91.4K
    96413433620170$120$26.9K
    9921417,59437,970120$90$23.2K
    992152,54815,36050$130$14.4K
    963659679080$60$9.7K
    992054,3608,36030$170$7.2K
    G22126711,10040$30$2.1K
    963721,2714,96050$10$1.5K
    J3489185280130$10$1.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas SchlesingerCARetina Specialist (Ophthalmology) Physician$4.3M$7.9M
    Shalini YalamanchiCAOphthalmology Physician$4.6M$7.2M
    Stephen MeffertCARetina Specialist (Ophthalmology) Physician$3.2M$5.5M
    Louis ChangCAOphthalmology Physician$2.2M$5.9M
    Matthew PowersCARetina Specialist (Ophthalmology) Physician$3.7M$4.3M
    Ira SchacharCARetina Specialist (Ophthalmology) Physician$3.9M$4.1M
    Alok BansalCAOphthalmology Physician$3M$4.7M
    Khosrow MehranyCASpecialist$7.7M$0
    Jon KellerCAAnatomic Pathology & Clinical Pathology Physician$6.4M$0
    Min-wei LeeCADermatology Physician$390.1K$5.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David KaplanCAPodiatrist$2.6M$0
    Katrina FischerCAHematology & Oncology Physician$2.1M$0
    Andrew EnglerCAAllergy & Immunology (Internal Medicine) Physician$648.3K$0
    Yung ChenCAPhysical Medicine & Rehabilitation Physician$512.8K$0
    Robert FilerCAOphthalmology Physician$488.9K$0
    Alireza GhamgosarCAFoot & Ankle Surgery Podiatrist$317.7K$0
    David KurzrockCACardiovascular Disease Physician$264.1K$0
    Jeffrey GuttasCACardiovascular Disease Physician$240K$0
    Susan WolfCADermatology Physician$176.2K$0
    Harriet BorofskyCADiagnostic Radiology Physician$116K$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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Michael Stevens — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California