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    OpenPayerNPI Medicare & MedicaidAnthony Lama
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    Anthony Lama — Billing Profile & Reimbursement Data

    NPI 1134161946 · New Orleans, LA · Specialist

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    Anthony Lama is a specialist provider located in New Orleans, Louisiana. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationAnthony Lama
    Address3439 Prytania St Ste 500
    CityNew Orleans
    StateLA
    ZIP70115
    TaxonomySpecialist
    NPI EnumeratedJune 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$105.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…920$60$56.7K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…240$60$13.4K
    99214The 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…130$90$11.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…100$100$9.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$130$4.5K
    99213The 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$60$2.1K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$40$1.9K
    90937Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing…20$80$1.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.130$10$1K
    G0008Administration of influenza virus vaccine30$30$810

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,9556,670110$80$16.5K
    992321082,58090$60$13.3K
    G04397251,06060$120$11.7K
    992134,3296,06070$50$8.1K
    909351110060$50$5.2K
    992221691,44030$100$4.6K
    9923132367050$40$4.3K
    9093771030$80$3.3K
    3641533380090$10$3.2K
    9923854159030$60$2.8K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Association For Retarded CitizensLAChild Intellectual and/or Developmental Disabilities Respite Care$0$24.3M
    Touro InfirmaryLAGeneral Acute Care Hospital$0$20.6M
    Belle Chasse Emergency Group LLCLAEmergency Medicine Physician$0$19.9M
    Foucher Emergency Group LLCLAEmergency Medicine Physician$0$15M
    Crescent City Physicians, Inc.LAFamily Medicine Physician$0$12.9M
    Preferred Caregivers & SittersLAHome Health Agency$0$10.1M
    Association For Retarded CitizensLADevelopmentally Disabled Services Day Training Agency$0$8.3M
    Preferred Caregivers And Sitters, LLCLAHome Health Agency$0$6.4M
    Strive IncLAHome Health Agency$0$4.6M
    New Orleans La Uptown West Bank Endoscopy Asc LLCLAAmbulatory Surgical Clinic/Center$243.7K$511.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Anthony Lama — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana