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

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

Laronda James (NPI 1093274425)

Field	Value
Entity Type	Individual
Organization	Laronda James
Address	9697 Saint Catherines Dr
City	Pleasant Prairie
State	WI
ZIP	53158
Taxonomy	Nurse Practitioner
NPI Enumerated	March 15, 2019

Payer Source	Total Paid
Medicare	$21K
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
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…	360	$50	$16.6K
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,…	90	$30	$2.6K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	40	$30	$1.4K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	70	$1	$140
69209	The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort.	10	$10	$80

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. Wisconsin Distribution

Laronda James — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	266	9,380	60	$50	$4.7K
87651	6	20	20	$30	$3K
99212	174	2,000	30	$30	$1.3K
81003	73	470	20	$1	$190
69209	55	120	10	$10	$170

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Froedtert South, Inc.	WI	General Acute Care Hospital	$0	$33M
Froedtert South, Inc.	WI	Family Medicine Physician	$0	$5.3M
Vivek Sehgal	NJ	Diagnostic Radiology Physician	$281.4K	$265.1K
Srikanth Davuluri	WI	Pulmonary Disease Physician	$94.6K	$342.5K
Kunal Patel	WI	Pulmonary Disease Physician	$100.8K	$316.8K
Michael Babbitt	WI	Diagnostic Radiology Physician	$135K	$249.6K
Lauren Snower	WI	Internal Medicine Physician	$179.5K	$192.4K
Vijayta Bansal-kapuria	IL	Neurology Physician	$296.1K	$61.1K
Shou Mei	WI	Diagnostic Radiology Physician	$153.4K	$186.2K
Shazia Kamran	WI	Neurology Physician	$96.2K	$202.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospice Alliance, Inc.	WI	Community Based Hospice Care Agency	$0	$5.4M
Nicole Ellish	WI	Behavior Analyst	$0	$4.5M
Marie Johnson	WI	Behavior Analyst	$0	$2.1M
Haileigh Haugh	WI	Behavior Analyst	$0	$1.5M
Dana Ignarski	WI	Behavior Analyst	$0	$1.4M
Aurora Surgery Centers, LLC	WI	Ambulatory Surgical Clinic/Center	$286K	$950
Village Of Pleasant Prairie	WI	Land Ambulance	$145.9K	$67.3K
Platina Gershtenson	WI	Dermatology Physician	$164.3K	$0
Ninad Dixit	WI	Internal Medicine Physician	$160.9K	$1.6K
Robina Chowdhery	WI	Rheumatology Physician	$136.8K	$0

Laronda James — Billing Profile & Reimbursement Data

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Laronda James — 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