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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKaren Stern
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    Karen Stern — Billing Profile & Reimbursement Data

    NPI 1932461647 · Phoenix, AZ · Urology Physician

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    Karen Stern is a urology physician provider located in Phoenix, Arizona. This profile covers 14 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationKaren Stern
    Address5777 E Mayo Blvd
    CityPhoenix
    StateAZ
    ZIP85054
    TaxonomyUrology Physician
    NPI EnumeratedJune 10, 2012

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

    Payer SourceTotal Paid
    Medicare$110K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…120$330$41.3K
    50081The provider removes one or more stones from the kidney, renal pelvis, or ureter using an antegrade (“downhill”) percutaneous approach. The provider uses imaging guidance and may place a stent and…20$880$15.9K
    99204The 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…110$120$13.2K
    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…110$90$10.4K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…90$90$8K
    52352The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$240$5.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$90$4.5K
    74420The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…200$20$3.8K
    52351The provider performs a diagnostic cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…20$180$2.9K
    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…30$70$1.9K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992331,9322,670120$90$21K
    992145,35310,410120$80$20.6K
    5008111020$880$15.9K
    5235617020$460$10.7K
    992137,5289,60080$60$9.6K
    992049135,79040$110$6.7K
    5235231030$230$5.9K
    5235121010$340$5.1K
    5233228020$170$4.4K
    992221,6412,16030$100$4.2K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo Clinic ArizonaAZGeneral Acute Care Hospital$0$12.5M
    Scottsdale Pediatrics And Pediatric Nephrology, PLLCAZPediatrics Physician$0$10.5M
    Steve HuangAZNuclear Medicine Physician$1.4M$0
    Talal HilalAZHematology & Oncology Physician$1.2M$0
    Premal DesaiAZUrology Physician$926.2K$0
    Mahesh SeetharamAZHematology & Oncology Physician$733.7K$0
    Joshua DuncanAZOphthalmology Physician$540.5K$0
    Jonathan LevinAZOphthalmology Physician$442.6K$0
    Brad BrunsAZOrthopaedic Surgery Physician$379.2K$0
    Philip ToAZOrthopaedic Hand Surgery Physician$288.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Karen Stern — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona