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.

Steven Ferguson (NPI 1952309502)

Field	Value
Entity Type	Individual
Organization	Steven Ferguson
Address	305 Dakota Dunes Blvd
City	Dakota Dunes
State	SD
ZIP	57049
Taxonomy	Optometrist
NPI Enumerated	July 8, 2005

Payer Source	Total Paid
Medicare	$300.6K
Medicaid	$0

Key Findings

STEVEN FERGUSON is an optometrist based in DAKOTA DUNES, SD with an NPI enumerated on 2005-07-08 (~21 years ago). His lifetime Medicare revenue on file is $300.6K and there is no Medicaid billing on file (none below), making his active payer footprint effectively single-payer Medicare rather than a mixed Medicare/Medicaid practice.

Revenue concentration is high: the top three Medicare codes (99214, 65778, 68761) together account for 48.5% of this provider's total Medicare revenue. Individually those codes contribute $54.4K (18.1%), $51.5K (17.1%), and $39.9K (13.3%) respectively, indicating material dependence on a small set of services for nearly half of Medicare income.

The code mix points to a blended clinical model emphasizing established outpatient evaluation/management plus specialty ocular procedures and diagnostic testing. High-claim E/M activity is shown by 99214 (633 claims, $86 avg paid/claim) alongside procedural dry-eye interventions such as 68761 (366 claims, $109 avg paid/claim) and a high-reimbursement amniotic membrane placement 65778 (49 claims, $1051 avg paid/claim), while substantial diagnostic testing (92273: 374 claims, $99 avg paid/claim; 83861: 422 claims, $22 avg paid/claim) indicates an in-office testing capability.

Competitive standing varies by service line: for broad E/M work 99214 ranks #32117 of 479517 providers nationally (93th percentile; typical, unremarkable volume for this code), indicating above-average national volume on this common visit code. For specialized procedures 65778 ranks #204 of 592 providers nationally (65th percentile; typical, unremarkable volume for this code), a moderate presence among the smaller pool of providers performing amniotic membrane placement, while 68761 ranks #211 of 3340 providers nationally (94th percentile; typical, unremarkable volume for this code) showing a strong national position in punctal plug placement. Additionally, ERG testing 92273 ranks #64 of 1106 providers nationally (94th percentile; typical, unremarkable volume for this code), which supports the view that this practice is a notable provider of certain specialized diagnostic services.

Unit-payment dynamics amplify the impact of relatively low-claim, high-paid services: 65778 has only 49 claims but a $1051 avg paid/claim, making it a top revenue driver despite low volume, whereas 99214 generated $54.4K from 633 claims at $86 avg paid/claim and 68761 produced $39.9K from 366 claims at $109 avg paid/claim. This contrast means shifts in utilization or reimbursement for high-value, low-volume procedures could materially change overall revenue even if E/M volumes remain stable.

Ancillary diagnostic testing is a clear operational emphasis with multiple high-count codes that are described as typical volumes relative to peers: 83861 (422 claims, $22 avg paid/claim; ranks #322 of 1900 providers nationally, 83th percentile; typical, unremarkable volume for this code), 92250 (270 claims, $28 avg paid/claim; ranks #3087 of 25087 providers nationally, 88th percentile; typical, unremarkable volume for this code) and 92083 (191 claims, $39 avg paid/claim; ranks #3693 of 25484 providers nationally, 85th percentile; typical, unremarkable volume for this code). These patterns are consistent with an office that invests in in‑house testing and imaging capacity to support diagnosis and management of ocular surface and retinal conditions.

The absence of any Medicaid billing on file (none below) has strategic implications: the practice is effectively single‑payer Medicare in the dataset, which may limit exposure to dual-eligible populations and concentrates reimbursement risk within Medicare policy changes. Payers and analysts should treat this provider as dependent on Medicare fee schedules and utilization patterns when assessing contracting or access for Medicaid populations.

Given the concentration (48.5% of Medicare revenue from three codes) and the mix of high-volume E/M and targeted high-reimbursement procedures, the most actionable monitoring points are utilization and reimbursement changes for 99214, 65778, and 68761. Because these three codes together drive nearly half of Medicare revenue, policy shifts, coding guidance, or changes in clinical pathways affecting these services would likely have outsized effects on the provider's revenue profile.

Medicare: Complete Services Breakdown

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

22 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…	630	$90	$54.4K
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	50	$1,050	$51.5K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	370	$110	$39.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	480	$80	$39.2K
92273	The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…	370	$100	$37K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	110	$100	$10.5K
83861	The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.	420	$20	$9.3K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	100	$80	$8.4K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	270	$30	$7.6K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	190	$40	$7.4K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Steven Ferguson — 7 of 22 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

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	30	130	40	$410	$67.7K
65778	1	10	50	$1,050	$51.5K
92014	16	200	170	$80	$17.1K
99214	73	1,660	90	$70	$11.4K
92273	1	10	40	$100	$9.3K
92136	28	30	210	$30	$9.2K
92012	50	90	50	$60	$7.4K
68761	1	20	30	$120	$5.9K
92134	26	160	60	$30	$5.8K
92004	20	170	40	$90	$4.7K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
NPI 1588636484	—	—	$3.2M	$0
Ryan Geraets	SD	Ophthalmology Physician	$3M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0
Ashar Luqman	IA	Nephrology Physician	$1.4M	$0
Taylor Slingsby	SD	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Ty Hanson	SD	Dermatology Physician	$1.2M	$0
Alexander Ringeisen	MN	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Richard Conklin	SD	Hematology & Oncology Physician	$994.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cnos PC	SD	Orthopaedic Surgery Physician	$0	$3.6M
Dunes Dental 4 Kids, LLP	SD	Pediatric Dentistry	$0	$3.3M
Liem Som Oei Md PC	SD	Nephrology Physician	$0	$2.4M
Ear Nose And Throat Consultants And Hearing Services Plc	SD	Otolaryngology Physician	$0	$2.2M
Oral Surgery Assocates, P.C.	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$2.1M
Dunes Anesthesia PC	SD	Pain Medicine (Anesthesiology) Physician	$0	$1.1M
Midlands Clinic, P.C.	SD	Specialist	$0	$822.9K
Dunes Medical Laboratories	SD	Clinical Medical Laboratory	$303K	$416.6K
Beth Bruening	SD	Ophthalmology Physician	$704.9K	$2.2K
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0

Steven Ferguson — Billing Profile & Reimbursement Data

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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