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    OpenPayerNPI Medicare & MedicaidStephen Huddleston
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    Stephen Huddleston — Billing Profile & Reimbursement Data

    NPI 1992022800 · Germantown, TN · Retina Specialist (Ophthalmology) Physician

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    Stephen Huddleston is a retina specialist (ophthalmology) physician provider located in Germantown, Tennessee. This profile covers 23 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
    OrganizationStephen Huddleston
    Address1432 Kimbrough Rd
    CityGermantown
    StateTN
    ZIP38138
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 1, 2010

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

    Payer SourceTotal Paid
    Medicare$5.7M
    Medicaid$0

    Key Findings

    This provider is a retina specialist with a long Medicare enrollment: NPI enumerated 2010-05-01 (~16 years ago), indicating sustained participation in Medicare over a multi-year professional tenure. That tenure supports a mature referral and treatment base for retina-focused services such as intravitreal injections and advanced retinal imaging/surgery.

    Medicare revenue is concentrated: total Medicare revenue is $5.7M and the precomputed top 3 Medicare codes by revenue account for 82.6% of this provider's total Medicare revenue. This concentration indicates the practice is highly dependent on a small set of high-revenue services rather than a broad mix of low‑revenue E/M or ancillary codes.

    The dominant single code is J2777 (faricimab) with $3.4M revenue, representing 59.7% of Medicare revenue and ranking #11 of 2039 providers nationally; the dataset labels this position an "extreme outlier" and the provider’s national rank places them well above typical peers on volume for this biologic injection. This suggests the practice administers faricimab at very high volume relative to most retina specialists and that intravitreal biologics are the core service line.

    Aflibercept (J0178) and the intravitreal injection procedure 67028 are the other top contributors: J0178 accounts for $1.1M (18.6% of Medicare revenue) and ranks in the 76th percentile nationally, while 67028 contributes $249.5K (4.4%) and ranks in the 97th percentile. Together with J2777 these three codes form the backbone of billed services, indicating routine high-volume intravitreal pharmacologic therapy combined with injection procedure coding.

    Several procedural and imaging codes appear at very high national percentiles, reinforcing a procedure-heavy retina practice: 92134 (retinal diagnostic imaging) is $99.8K and ranks #211 of 26868 providers nationally (99th percentile, described as an "extreme outlier"), and 99213 office visits are $61.4K and rank in the 99th percentile. These positions imply the provider not only administers injections but also performs intensive retinal monitoring and high-volume established patient follow-up.

    Competitive standing is mixed by code: for J2777 the provider is a major national outlier and top-tier volume performer, while for other drug codes like J0178 and J2781 the provider’s ranks (76th and ~91st percentile respectively) are within the typical-to-strong range but not extreme. Surgical retina codes such as 67108 and 67042 are notably above typical national volume (95th and 79th percentiles), indicating surgical capability beyond injection-based care, but surgical revenues are small relative to drug therapy.

    This provider appears effectively single‑payer with respect to public programs: Medicare revenue is $5.7M while there is no Medicaid billing on file. The absence of Medicaid activity indicates the payer mix is heavily skewed to Medicare for the observed claims population and revenue flows.

    There are smaller, atypical high‑paid unclassified drug lines present: J3490 shows $219.5K revenue (3.8% of Medicare revenue) with a relatively high average paid/claim ($1770) and a typical national rank (79th percentile). The presence of J3490 and other drug codes such as J7999 and J9035 at modest revenue levels suggests occasional use of nonstandard or compounded agents in addition to the primary biologics.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg117,480$30$3.4M
    J0178Injection, aflibercept, 1 mg1,570$680$1.1M
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.2,680$90$249.5K
    J3490Unclassified drugs120$1,770$219.5K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg1,500$120$180K
    J2403Chloroprocaine hcl ophthalmic, 3% gel, 1 mg133,600$1$133.6K
    J2778Injection, ranibizumab, 0.1 mg670$160$109.2K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.3,570$30$99.8K
    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…1,040$60$61.4K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…50$830$43.2K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782180790$680$769.8K
    J277715015,060$30$592.1K
    J277829401,340$180$370.2K
    670284801,130$90$98.5K
    J2781120560$120$82.5K
    J2403310112,000$1$67.3K
    J73121010210$150$45.8K
    J3490206070$400$41.9K
    6704294020$1,020$34.5K
    6711391020$1,280$32.1K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ut Medical Group IncTNMulti-Specialty Clinic/Center$0$53.1M
    Jackson Madison County General HospitalTNGeneral Acute Care Hospital$0$46.6M
    St Bernards Hospital IncARGeneral Acute Care Hospital$0$35.4M
    Jackson-madison County General HospitalTNLand Ambulance$5.1M$13M
    West Tennessee Medical Group IncTNInternal Medicine Physician$0$8.2M
    Jackson-madison County General HospitalTNCommunity/Retail Pharmacy$0$7.4M
    St Bernards Hospital Inc.ARGeneral Acute Care Hospital$0$7.3M
    Wt Medical AssociatesTNRural Health Clinic/Center$0$5.5M
    St Jude Childrens Research Hospital IncTNChildren's Hospital$0$5.1M
    Wt Medical AssociatesTNInternal Medicine Physician$0$4.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Byram Healthcare Centers, Inc.TNDurable Medical Equipment & Medical Supplies$0$44.3M
    Campbell Clinic, PCTNOrthopaedic Surgery Physician$0$28M
    The West Clinic P.C.TNSpecialist$0$16M
    Poplar Avenue Clinic PLLCTNGynecologic Oncology Physician$0$9.7M
    Diagnostic Ultrasound ConsultantsTNDiagnostic Radiology Physician$0$8.5M
    Mid-south Imaging & Therapeutics, P.A.TNDiagnostic Radiology Physician$0$8.2M
    David PortnoyTNHematology & Oncology Physician$6.5M$0
    Stern Cardiovascular Foundation, IncTNCardiovascular Disease Physician$0$4.7M
    G I Diagnostic And Therapeutic Center LLCTNEndoscopy Clinic/Center$4.2M$8.6K
    Memphis Neurology PLLCTNNeurology Physician$0$3.9M

    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. Tennessee Distribution
    Stephen Huddleston — 6 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee