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

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

Lucy Muigai (NPI 1043437809)

Field	Value
Entity Type	Individual
Organization	Lucy Muigai
Address	103 Myron St
City	West Springfield
State	MA
ZIP	01089
Taxonomy	Nurse Practitioner
NPI Enumerated	April 20, 2007

Payer Source	Total Paid
Medicare	$126.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	830	$70	$60.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	830	$50	$40.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	180	$80	$14K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	80	$110	$8.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	40	$40	$1.4K
99341	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…	40	$30	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Lucy Muigai — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	165	840	300	$80	$37.8K
99308	92	750	170	$50	$20.5K
99310	250	510	80	$110	$15.4K
99349	78	290	60	$80	$12K
99348	147	230	50	$50	$4.9K
99341	9	20	30	$40	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bogdan Nedelescu	MA	Internal Medicine Physician	$190.5K	$38K
Majed Najjar	NH	Internal Medicine Physician	$140.3K	$0
Thomas Patnaude	MA	Internal Medicine Physician	$53.5K	$5.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Total Wellness Centers, LLC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$38.4M
Savida Health, PC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$36.2M
Compassionate Healthcare Systems LLC	MA	Home Health Agency	$0	$21.6M
Centerwell Certified Healthcare Corp.	MA	Home Health Agency	$0	$17.3M
West Central Family & Counseling, Ltd	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.9M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$11.5M
Reen & Reen Dmd PC	MA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$11.4M
Galileo Ventures LLC	MA	Adult Day Care Clinic/Center	$0	$11.2M
Rise Behavioral Health Services	MA	In Home Supportive Care Agency	$0	$10.5M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$9.1M

Lucy Muigai — Billing Profile & Reimbursement Data

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Lucy Muigai — 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