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

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

Hilary Lee (NPI 1033561493)

Field	Value
Entity Type	Individual
Organization	Hilary Lee
Address	46 Fairview Ave Ste 223
City	Skowhegan
State	ME
ZIP	04976
Taxonomy	Nurse Practitioner
NPI Enumerated	July 11, 2016

Payer Source	Total Paid
Medicare	$13.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	130	$40	$5.5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	120	$40	$4.3K
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	$1.6K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	70	$20	$1.2K
99203	The provider sees a new 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 provider…	10	$50	$580
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,…	20	$20	$460
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	10	$20	$170

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Hilary Lee — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	47	50	240	$30	$12.2K
99214	2,048	2,500	70	$70	$7.2K
99213	420	2,350	50	$50	$4.3K
11042	7	30	50	$50	$4.2K
99203	579	620	30	$60	$2.4K
29581	4	10	50	$20	$2.1K
99212	256	410	30	$30	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Redington-fairview General Hospital	ME	Critical Access Hospital	$0	$5.9M
Redington-fairview General Hospital	ME	Rural Health Clinic/Center	$0	$1M
Ellie Mueller	ME	Interventional Cardiology Physician	$201.2K	$0
Brian Ewy	ME	Diagnostic Radiology Physician	$151.6K	$7.5K
Aalia Fathima Mohamed Ghouse	ME	Internal Medicine Physician	$94.8K	$0
George Polkinghorn	ME	Medical Oncology Physician	$83.8K	$0
Devesh Agarwal	ME	Family Medicine Physician	$79.8K	$0
Michael Monzel	ME	Gastroenterology Physician	$55.4K	$0
Jorge Escobar Valle	PA	Cardiovascular Disease Physician	$54.7K	$0
Adam Caldwell	ME	Cardiovascular Disease Physician	$54.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Behavioral Health Organization	ME	Community/Behavioral Health Agency	$0	$11.1M
Rachelle Nunn	ME	In Home Supportive Care Agency	$0	$5.4M
E.c.c.o.	ME	Community/Behavioral Health Agency	$0	$2.7M
Dialysis Clinic Inc.	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
School Administrative District No 54	ME	Local Education Agency (LEA)	$0	$504.6K
Skowhegan Imaging Associates, P.A.	ME	Diagnostic Radiology Physician	$0	$349.9K
Daniel Stadler	ME	Internal Medicine Physician	$90.2K	$0
Insight-premier Health LLC	ME	Diagnostic Radiology Physician	$27.1K	$57.8K
Michael Berry	ME	Diagnostic Radiology Physician	$33.4K	$0
Anthony Vandyck	ME	Diagnostic Radiology Physician	$33K	$0

Hilary Lee — Billing Profile & Reimbursement Data

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Hilary Lee — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References