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

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

James Lamb (NPI 1124192729)

Field	Value
Entity Type	Individual
Organization	James Lamb
Address	527 Rigby Lake Dr Ste C
City	Rigby
State	ID
ZIP	83442
Taxonomy	Audiologist
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicare	$8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	40	$70	$3.1K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	120	$20	$2.8K
92537	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…	40	$30	$1.1K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	90	$10	$910

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

James Lamb — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	18	60	80	$20	$2.1K
92540	1	10	20	$60	$1.5K
92567	15	50	40	$10	$730
92537	1	10	20	$20	$570

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spencer Stanger	ID	Family Nurse Practitioner	$20.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Van Wagoner Consulting, Inc.	ID	Case Management Agency	$0	$6.7M
Jefferson Joint School District 251	ID	Local Education Agency (LEA)	$0	$3.5M
Upper Valley Family Medicine PLLC	ID	Family Medicine Physician	$0	$1.9M
Robert Ellis	ID	Dentist	$0	$1.3M
West Wind Dental	ID	General Practice Dentistry	$0	$644.9K
Rigby Pediatric Dental PLLC	ID	Pediatric Dentistry	$0	$576.5K
Stephen Richins	ID	Medical Physician Assistant	$466.6K	$0
Mobley Physical Therapy PC	ID	Physical Therapy Clinic/Center	$0	$444.8K
Rigby Physical Therapy, PLLC	ID	Physical Therapist	$0	$363.1K
Cameron French	ID	Medical Physician Assistant	$173.9K	$0

James Lamb — Billing Profile & Reimbursement Data

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James Lamb — 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