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

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

Lester Freeman (NPI 1023066685)

Lester Freeman is a pediatrics physician provider located in Atlanta, Georgia. This profile covers 0 Medicare and 20 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	Individual
Organization	Lester Freeman
Address	3915 Cascade Road
City	Atlanta
State	GA
ZIP	30331
Taxonomy	Pediatrics Physician
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$158.6K
Medicare	$0

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	710	$50	$34.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	260	$110	$27.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	200	$100	$20.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	190	$110	$20.1K
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…	270	$70	$19.1K
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…	130	$110	$13.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	220	$50	$10.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	70	$120	$8.1K
99429	Use 99429 to report a preventive medicine service that does not have a specific code.	140	$20	$2.4K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	240	$10	$1.2K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Lester Freeman — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	503	920	370	$60	$360.6K
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…	545	820	390	$70	$245K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	116	180	680	$90	$226.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	116	180	720	$90	$204.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	119	250	660	$40	$172.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	114	170	500	$100	$170.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	207	360	370	$50	$153.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	107	160	190	$110	$129.7K
99429	Use 99429 to report a preventive medicine service that does not have a specific code.	52	70	620	$10	$26.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	137	150	660	$10	$15.6K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bolaji Odusina	GA	Pediatrics Physician	$0	$7.7M
Roberto Cossio	GA	Pediatrics Physician	$0	$874.8K
Mary Wiles	GA	Internal Medicine Physician	$452.8K	$0
Benjamin Abraham	GA	Family Medicine Physician	$376.5K	$0
Robert Lamberts	GA	Internal Medicine Physician	$0	$338.4K
Jody Velie	GA	Family Medicine Physician	$320.4K	$0
Daryl Wiley	GA	Family Medicine Physician	$273.6K	$730
Brian Griner	GA	Pediatrics Physician	$233.8K	$8.3K
Alfred Brannen	GA	Pulmonary Disease Physician	$192.3K	$32.4K
Tania Smith	GA	Pediatrics Physician	$0	$204.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Ellsworth	GA	Foot Surgery Podiatrist	$9.1M	$1.3K
Peacewerks Center For Well-being	GA	Clinical Social Worker	$0	$365.5K
Stacey Brinkley	GA	Family Nurse Practitioner	$320.8K	$0
Keith Evans	GA	Physical Therapist	$285.9K	$0
Southwest Atlanta Vascular Care, LLC	GA	Ambulatory Surgical Clinic/Center	$264.2K	$0
Latoya Nelson	GA	Mental Health Counselor	$0	$254.7K
Johnetta Barnes	GA	Professional Counselor	$0	$216.4K
Georgia's Families In Transition LLC	GA	Community/Behavioral Health Agency	$0	$164.5K
Sammy Mugambi	GA	Nephrology Physician	$161K	$0
Fidelia Osinubi	GA	Family Medicine Physician	$156.7K	$0

Lester Freeman — Billing Profile & Reimbursement Data

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Lester Freeman — 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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