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

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

Douglas Lanier (NPI 1205825643)

Field	Value
Entity Type	Individual
Organization	Douglas Lanier
Address	4300b W Railroad St
City	Gulfport
State	MS
ZIP	39501
Taxonomy	Nephrology Physician
NPI Enumerated	October 18, 2005

Payer Source	Total Paid
Medicare	$188K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	380	$260	$100.8K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	190	$200	$39.6K
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…	240	$80	$20K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	40	$220	$8K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	50	$150	$8K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	30	$200	$6.7K
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…	40	$120	$4.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Douglas Lanier — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	26	70	320	$260	$82.1K
90966	3	30	120	$210	$26K
99214	1,553	4,110	170	$70	$21.9K
90961	51	80	50	$210	$14.5K
99496	56	170	30	$170	$10.2K
99215	392	900	40	$110	$9K
99495	15	230	20	$130	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Biju Marath	MS	Nephrology Physician	$255.3K	$0
Jedd Seigerman	MS	Nephrology Physician	$237.4K	$0
Joseph O'gorman	MS	Nephrology Physician	$55.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital At Gulfport	MS	General Acute Care Hospital	$0	$87.5M
Gulf Coast Mental Health Center	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
Memorial Hospital At Gulfport	MS	Urology Physician	$0	$6.2M
Memorial Hospital At Gulfport	MS	Emergency Medicine Physician	$0	$5.8M
Devoted Heart Home Care, LLC	MS	Home Health Agency	$0	$3.3M
Healing Touch Homemaker And Companion Agency	MS	In Home Supportive Care Agency	$0	$3.1M
Coastal Family Health Center, Inc.	MS	Federally Qualified Health Center (FQHC)	$0	$2.5M
Bio-medical Applications Of Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M
Harbor View Oral And Facial Surgery LLC	MS	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Memorial Hospital At Gulfport	MS	Hospitalist Physician	$0	$1.7M

Douglas Lanier — Billing Profile & Reimbursement Data

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Douglas Lanier — 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