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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLarry Lika
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    Larry Lika — Billing Profile & Reimbursement Data

    NPI 1043279474 · Cleveland, OH · Orthopaedic Surgery Physician

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    Larry Lika is a orthopaedic surgery physician provider located in Cleveland, Ohio. This profile covers 19 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
    OrganizationLarry Lika
    Address15299 Bagley Rd Ste 100
    CityCleveland
    StateOH
    ZIP44130
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 23, 2006

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

    Payer SourceTotal Paid
    Medicare$170.4K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…30$1,010$34.3K
    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…370$90$32.5K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…30$1,000$28.9K
    J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg15,800$1$15.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…320$50$15.8K
    99213The 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…210$60$13K
    99215The 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…90$130$10.9K
    99204The 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…90$100$9K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.250$30$6.9K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…40$70$2.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744722954030$1,280$52.4K
    2713013334020$1,250$38.8K
    992142,16920,010100$70$11.7K
    J732852011,260$1$8.1K
    992133,24320,00070$50$6.6K
    992158484,95030$110$5.9K
    20610901,64060$50$4.7K
    992048118,33030$100$4.4K
    992211901,22020$60$1.8K
    2055014937030$30$1.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Northern Ohio Medical Specialists LLCOHInternal Medicine Physician$0$16.4M
    Jennifer MullerFLMedical Oncology Physician$1.9M$0
    Jonathan ZahlerOHOphthalmology Physician$456.3K$0
    Chase ScarbroughOHDermatology Physician$416.6K$0
    Michael PowersOHOrthopaedic Surgery Physician$364K$0
    Todd RambasekOHAllergy & Immunology Physician$358.9K$0
    Steven BenedictOHNeurology Physician$347.4K$0
    Basel AltaqiOHPulmonary Disease Physician$329.4K$0
    Emily PetittiOHDermatology Physician$324.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Professional Dental Alliance, LLCOHDentist$0$54.1M
    Southwest General Health CenterOHGeneral Acute Care Hospital$0$22.9M
    Continuum Care Hospice LLCOHCommunity Based Hospice Care Agency$0$22M
    Lorraine Surgical Supply IncOHDurable Medical Equipment & Medical Supplies$0$16.4M
    Nationwide Health Management LLCOHHome Health Agency$0$13.1M
    Kci Usa, Inc.OHDurable Medical Equipment & Medical Supplies$0$12.1M
    Donald Martens & Sons Ambulance Service Inc.OHLand Ambulance$2.6M$9.1M
    Dental Professionals Cleveland-nouneh, IncOHGeneral Practice Dentistry$0$9.9M
    Priority Home Health Care, IncOHHome Health Agency$0$9.1M
    Dr Kmiecks Dental Health ServiceOHGeneral Practice Dentistry$0$7.6M

    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. Ohio Distribution
    Larry Lika — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio