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

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

Luke Lemke (NPI 1104820489)

Field	Value
Entity Type	Individual
Organization	Luke Lemke
Address	1454 28th Ave
City	Columbus
State	NE
ZIP	68601
Taxonomy	Family Medicine Physician
NPI Enumerated	June 2, 2005

Payer Source	Total Paid
Medicare	$711.1K
Medicaid	$0

Key Findings

This provider’s Medicare portfolio totals $711.1K in lifetime revenue while Medicaid billing is absent (none — no Medicaid billing on file), making the practice effectively single‑payer Medicare in scale and exposure. The lack of Medicaid activity means payer-mix risk and growth opportunities tied to non‑Medicare markets are not visible in the claims data.

Revenue concentration is meaningful: the precomputed top‑3 Medicare codes (99214, J0897, 99458) account for 36.7% of total Medicare revenue. Those top three codes individually contribute $95.5K (99214, 13.7%), $84.2K (J0897, 12.1%), and $76K (99458, 10.9%), indicating a concentrated set of high-value services driving a large share of income.

The code mix points to a family‑medicine practice operating a hybrid model of in‑person evaluation and management plus longitudinal remote care and procedure services. High revenue from 99214 (office E/M) alongside substantial billing for 99458, 99457, 99454, 99490, and 99439 (remote physiologic monitoring and clinical staff care management) suggests ongoing monthly care management and RPM workflows, while J0897 (injection, denosumab) signals regular administration of a specialty injectable.

Several codes place this provider well above national peers: 99214 ranks #7006 of 479517 (99th percentile; extreme outlier) and G0439 (annual wellness visit, subsequent) ranks #787 of 105855 (99th percentile; extreme outlier), indicating unusually high volumes of established visit and AWV services relative to national providers. Remote monitoring and care‑coordination codes are also elevated — 99458 ranks #67 of 3715 (98th percentile; notably above typical) and 99457 ranks #163 of 6044 (97th percentile; notably above typical) — while J0897 sits near the middle of its peer group (#3006 of 10057, 70th percentile; typical, unremarkable volume).

The billing pattern implies operational commitments: sustained revenue from RPM and CCM codes (99458, 99457, 99454, 99490, 99439) requires clinical staff time, device provisioning, and monthly patient engagement processes to support recurring claims. This mix can create predictable monthly revenue streams but also anchors revenue to services that require ongoing administrative and clinical capacity rather than one‑off visits alone.

Preventive and chronic disease management are prominent in the portfolio beyond the top three codes: G0439 (annual wellness visit, $59K, 8.5%) and G0444 (depression screening, $6.5K, 0.9% — ranks #311 of 26377, 99th percentile; extreme outlier) alongside lab codes such as 83036 (A1C) and 80061 (lipid panel) indicate routine preventive screening and metabolic monitoring are significant components of care delivery. This combination aligns with a practice focused on managing chronic conditions and meeting Medicare preventive care measures.

Tenure data shows the NPI was enumerated 2005-06-02 (~21 years ago), indicating a long-established billing history that could support accumulated patient panels and institutional knowledge in running recurring care programs. Long tenure combined with elevated volumes on specific codes suggests established operational workflows around those services.

Though the practice shows diversification across E/M, RPM/CCM, injections, and preventive services, the concentration (36.7% of Medicare revenue from the top three codes) coupled with zero Medicaid billing highlights two strategic considerations: dependence on a small set of high‑revenue service lines and exposure to Medicare policy changes, and limited visibility into non‑Medicaid payer streams that could otherwise broaden revenue sources.

Medicare: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,210	$80	$95.5K
J0897	Injection, denosumab, 1 mg	4,680	$20	$84.2K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	2,620	$30	$76K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	2,140	$30	$72.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,380	$40	$60.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	480	$120	$59K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	1,600	$40	$55.9K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	1,600	$30	$54.4K
99215	The 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…	260	$120	$30.8K
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…	410	$50	$22.1K

Showing 1–10 of 46

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Luke Lemke — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

46 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	38	200	2,040	$20	$62.7K
99458	1	20	150	$30	$15.8K
99214	45	3,210	110	$70	$14.9K
99457	1	20	230	$30	$14.1K
99490	3	180	220	$40	$13K
99454	1	30	190	$30	$12.3K
G0439	4	850	70	$90	$8.9K
17000	125	170	110	$30	$8.2K
99213	252	3,220	90	$50	$7.9K
99215	33	920	40	$110	$7K

Showing 1–10 of 46

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Urgent Care LLC	NE	Urgent Care Clinic/Center	$0	$1.4M
Edward Discoe	NE	Family Medicine Physician	$519.4K	$0
Jeffrey Gotschall	NE	Family Medicine Physician	$495.7K	$0
Craig Pekny	NE	Family Medicine Physician	$242K	$0
Gregory Jacobs	NE	Physician Assistant	$48.6K	$0
Tyler Maguire	NE	Physician Assistant	$47.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Medical Transport Company LLC	NE	Ambulance	$20.7M	$30.1M
Columbus Community Hospital Inc	NE	General Acute Care Hospital	$0	$8.9M
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.7M
Behavioral Health Specialists, Inc Seekers Of Serenity Place	NE	Substance Abuse Rehabilitation Facility	$0	$4.1M
Cch Pediatric Clinic PC	NE	Pediatrics Physician	$0	$3.1M
Good Neighbor Community Health Center	NE	Public Health or Welfare Agency	$0	$1.1M
Columbus Physical Therapy, P.C.	NE	Physical Therapist	$0	$785K
Peter Diedrichsen	NE	Ophthalmology Physician	$749.8K	$0
Columbus Family Practice Associates, P.C.	NE	Family Medicine Physician	$0	$716.2K
Columbus Community Hospital Inc	NE	Emergency Medicine Physician	$0	$676.2K

Luke Lemke — Billing Profile & Reimbursement Data

Sign up for Luke Lemke — Billing Profile & Reimbursement Data policy alerts

Luke Lemke — Billing Profile & Reimbursement Data

Sign up for Luke Lemke — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References