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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Albert C. Lee, M.d., P.C. (NPI 1013047042)

Albert C. Lee, M.d., P.C. is a neurology physician provider located in Lafayette, Indiana. This profile covers 0 Medicare and 36 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Albert C. Lee, M.d., P.C.
Address	3731 Rome Dr
City	Lafayette
State	IN
ZIP	47905
Taxonomy	Neurology Physician
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95713	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 2 to 12 hours with continuous, real–time monitoring and maintenance. A video recording is made,…	3,590	$250	$899.8K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	6,400	$120	$748.4K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	3,660	$160	$600.4K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	1,740	$140	$246.7K
95951	N/A	1,260	$150	$190.6K
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…	5,150	$40	$190.5K
95718	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…	3,390	$50	$176.5K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	3,000	$50	$159K
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…	3,350	$50	$150.7K
64450	The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.	940	$160	$146.8K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Albert C. Lee, M.d., P.C. — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95713	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 2 to 12 hours with continuous, real–time monitoring and maintenance. A video recording is made,…	1	10	3,590	$250	$901.6K
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…	452	2,120	870	$60	$450.6K
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…	700	2,380	920	$50	$376.8K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	1	10	320	$110	$256.3K
95951	N/A	2	10	240	$180	$196.7K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	1	10	100	$200	$138.1K
99204	The 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…	402	790	150	$90	$99.4K
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…	35	510	180	$90	$93.6K
95718	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…	1	10	850	$60	$91K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	1	10	40	$140	$85.2K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Lafayette	IN	General Acute Care Hospital	$0	$38.6M
Arnett Clinic, LLC	IN	Internal Medicine Physician	$0	$35.1M
Piece By Piece Aba Therapy LLC	IN	Behavior Technician	$0	$33M
Indiana University Health Arnett Inc	IN	General Acute Care Hospital	$0	$26M
Limestone Health, LLC	IN	Methadone Clinic	$117.1K	$11.2M
Sycamore Springs, LLC	IN	Psychiatric Hospital	$0	$7M
Lafayette Pain Care, P.C.	IN	Pain Medicine Physician	$0	$6M
Awl Dentistry PC	IN	General Practice Dentistry	$0	$6M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$5.2M
Emergency Care Associates Of Indiana, LLC	IN	Emergency Medicine Physician	$0	$4.5M

Albert C. Lee, M.d., P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samiullah Kundi	IN	Pain Medicine Physician	$202.9K	$0
Albert Lee	IN	Neurology Physician	$187.9K	$0
Sherry Hash	IN	Family Nurse Practitioner	$39.2K	$0