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

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

Amelia Gayle Lee (NPI 1083657753)

Field	Value
Entity Type	Organization
Organization	Amelia Gayle Lee
Address	530 Hunter Ave
City	Boswell
State	OK
ZIP	74727
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	13,540	$60	$758.2K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	5,460	$90	$513.4K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	4,290	$110	$484.2K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	4,800	$80	$393.2K
T4541	Incontinence product, disposable underpad, large, each	8,150	$40	$317.7K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	1,610	$180	$282.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	890	$190	$172.5K
T4537	Incontinence product, protective underpad, reusable, bed size, each	2,300	$40	$91.8K
T4540	Incontinence product, protective underpad, reusable, chair size, each	920	$40	$37.6K
A4927	Gloves, non-sterile, per 100	1,490	$20	$25.3K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Amelia Gayle Lee — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	9	50	2,650	$60	$485.9K
T4541	Incontinence product, disposable underpad, large, each	12	50	2,210	$60	$403.8K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	9	50	1,510	$100	$380.3K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	8	40	1,240	$120	$338.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	10	40	1,350	$90	$337.5K
E1399	Durable medical equipment, miscellaneous	20	30	280	$330	$285.4K
T4537	Incontinence product, protective underpad, reusable, bed size, each	9	20	840	$70	$247.1K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	8	30	510	$170	$214.9K
A4335	Incontinence supply; miscellaneous	21	30	800	$50	$197.6K
T4525	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each	17	20	1,080	$80	$146.3K

Showing 1–10 of 15

Amelia Gayle Lee — Billing Profile & Reimbursement Data

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Amelia Gayle Lee — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References