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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Heather Lugo (NPI 1013507664)

Field	Value
Entity Type	Individual
Organization	Heather Lugo
Address	4391 E Lohman Ave
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 18, 2021

Payer Source	Total Paid
Medicare	$9.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	120	$50	$5.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$100	$2.4K
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…	30	$60	$1.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$130
81015	The lab analyst performs this testing based on the specific order for a microscopic urinalysis only. The lab analyst will examine a urine specimen directly under the microscope or by using the…	10	$1	$30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Heather Lugo — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,182	2,700	90	$70	$12.9K
G0439	381	490	50	$120	$9.7K
99213	788	2,440	60	$50	$7.3K
36415	303	360	60	$10	$3K
81015	3	10	20	$1	$120

Heather Lugo — Billing Profile & Reimbursement Data

Sign up for Heather Lugo — Billing Profile & Reimbursement Data policy alerts

Heather Lugo — Billing Profile & Reimbursement Data

Sign up for Heather Lugo — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References