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

    NPI 1992899470 · Lafayette, LA · Gastroenterology Physician

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    Stephen Abshire is a gastroenterology physician provider located in Lafayette, Louisiana. This profile covers 29 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 Abshire
    Address1211 Coolidge Blvd
    CityLafayette
    StateLA
    ZIP70503
    TaxonomyGastroenterology Physician
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicare$189.7K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…190$190$35.9K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…860$20$20.7K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…390$50$18.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.180$80$13.8K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…220$60$12.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…220$50$10.1K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk50$180$9.5K
    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$9.5K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…240$40$8.4K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…70$90$6.1K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453852223060$270$27.5K
    8830545220370$30$22.3K
    992143,2726,670110$80$16.5K
    99487194040$90$15.8K
    99490175390190$40$13.5K
    432393725060$120$12.4K
    G01053015030$260$12.2K
    453805622040$170$11.6K
    43450546060$130$10K
    43249174020$260$9.7K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lsuhn Billing LLCLAMulti-Specialty Clinic/Center$0$45.7M
    Wade MayLACardiovascular Disease Physician$1.8M$0
    Jennifer MalinLARheumatology Physician$1.7M$0
    Lewis MurrayLAOphthalmology Physician$775.2K$610.9K
    Robert BlemLAOphthalmology Physician$1.2M$93.6K
    Ankur LodhaLAInterventional Cardiology Physician$1.2M$0
    Eric ReishLAOphthalmology Physician$975.5K$106.9K
    Agostino IngraldiLAInterventional Cardiology Physician$981.3K$0
    Fernando RuizLAInterventional Cardiology Physician$871.4K$0
    Jacque NoelLAGastroenterology Physician$804.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Merakey PennsylvaniaLACommunity/Behavioral Health Agency$0$37.7M
    Lafayette General Medical Center IncLAGeneral Acute Care Hospital$0$31.1M
    New Day Personal Care ServicesLAIn Home Supportive Care Agency$0$28.5M
    Gulf Coast Teaching Family Services, Inc.LACommunity/Behavioral Health Agency$0$13.1M
    Coolidge Emergency Group LLCLAEmergency Medicine Physician$0$11.1M
    Pediatrust Acadiana, LLCLAMedically Fragile Infants and Children Day Care$0$8.6M
    Critical Care Newborn ServicesLANeonatal-Perinatal Medicine Physician$0$7.6M
    New Day Personal Care ServicesLAIn Home Supportive Care Agency$0$6.9M
    A Blessing Personal Home CareLAIn Home Supportive Care Agency$0$6.4M
    Priority Medical Care Inc.LAHome Health Agency$0$6.2M

    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. Louisiana Distribution
    Stephen Abshire — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana