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

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

Rachael Lancaster (NPI 1053639351)

Field	Value
Entity Type	Individual
Organization	Rachael Lancaster
Address	1717 6th Ave S
City	Birmingham
State	AL
ZIP	35233
Taxonomy	Surgical Oncology Physician
NPI Enumerated	May 11, 2010

Payer Source	Total Paid
Medicare	$17.6K
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
19301	The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.	20	$480	$11.5K
99205	The provider sees a new 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 provider…	20	$130	$2.8K
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…	30	$50	$1.4K
38900	The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…	10	$100	$1.1K
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…	10	$60	$780

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. Alabama Distribution

Rachael Lancaster — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,171	7,330	120	$80	$16.8K
19301	8	20	20	$470	$10.7K
99213	4,971	6,470	80	$50	$7.9K
99205	450	820	30	$140	$5K
38900	17	20	20	$110	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Russell Hospital Corporation	AL	General Acute Care Hospital	$0	$3.5M
Subhransu Ray	CA	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Greg Morganroth	CA	Dermatology Physician	$1.4M	$0
Adam Attoun	CA	Diagnostic Radiology Physician	$1M	$0
Daniel Zedek	NC	Dermatopathology (Pathology) Physician	$998.9K	$0
The University Of Alabama At Birmingham	AL	Optometrist	$0	$901.3K
Linh Chen	CA	Diagnostic Radiology Physician	$842.4K	$16.8K
Marketa Limova	CA	Dermatology Physician	$843.6K	$0
Basel Alrefai	AL	Cardiovascular Disease Physician	$834.7K	$0
Shankar Yalamanchili	AL	Psychiatry Physician	$606.7K	$5.7K

Rachael Lancaster — 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

Frequently Asked Questions

References