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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Lewis (NPI 1942289566)

Field	Value
Entity Type	Individual
Organization	Stephen Lewis
Address	2300 Computer Rd
City	Willow Grove
State	PA
ZIP	19090
Taxonomy	Neurology Physician
NPI Enumerated	January 12, 2006

Payer Source	Total Paid
Medicare	$59.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	200	$130	$26.6K
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…	150	$90	$13.2K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	160	$60	$9.3K
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…	30	$180	$4.7K
99213	The 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…	60	$50	$3.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	100	$30	$2.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Stephen Lewis — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,770	23,230	100	$80	$14.5K
99215	530	7,170	40	$120	$8.6K
99213	11,599	22,370	70	$60	$7.7K
99205	1,278	3,090	20	$150	$4.9K
96116	2	60	40	$70	$3.7K
99212	641	4,720	30	$40	$2.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$16M
Central Behavioral Health	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Second Alarmer's Assn & Rescue Squad Of Montgomery County Inc	PA	Paramedic	$1.2M	$1.8M
Dennis Jerdan	PA	Rheumatology Physician	$2.5M	$0
Sarah Coleman	PA	Rheumatology Physician	$2.4M	$0
Elana Eisner	PA	Rheumatology Physician	$2.1M	$0
Charles Pritchard	PA	Rheumatology Physician	$2.1M	$0
David Chesner	PA	Rheumatology Physician	$1.6M	$0
Marguerite Mcgarvey	PA	Rheumatology Physician	$1.5M	$0
Dana Jacobs-kosmin	PA	Rheumatology Physician	$1.4M	$0

Stephen Lewis — Billing Profile & Reimbursement Data

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Stephen Lewis — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References