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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGregory Lyford
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    Gregory Lyford — Billing Profile & Reimbursement Data

    NPI 1215975339 · Nixa, MO · Gastroenterology Physician

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    Gregory Lyford is a gastroenterology physician provider located in Nixa, Missouri. This profile covers 18 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGregory Lyford
    Address2634 W Pebble Creek Dr
    CityNixa
    StateMO
    ZIP65714
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 2, 2006

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

    Payer SourceTotal Paid
    Medicare$85.3K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…150$190$29.3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk100$170$17.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.110$60$6.5K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…50$110$5.5K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…50$100$5.5K
    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…90$40$3.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…40$100$3.6K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$3.1K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.30$80$2.5K
    99212The 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$2.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453853734060$250$21K
    G01051119030$240$9.4K
    4538018335040$150$9.1K
    G01219216020$250$7.4K
    992133,4848,73070$50$7K
    432397737060$100$6.9K
    43248167030$140$5.3K
    453781521020$160$3.9K
    80053499570100$10$3.9K
    992032,6582,95030$70$3.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lester E Cox Medical CentersMOGeneral Acute Care Hospital$0$112.3M
    Skaggs Community Hospital AssociationMOGeneral Acute Care Hospital$0$18.8M
    Lester E Cox Medical CentersMOFamily Medicine Physician$0$17M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Levent AkdumanMOOphthalmology Physician$3.1M$1.4M
    Juanita Golden-allenMOAcute Care Nurse Practitioner$2.9M$0
    Ibrahim AbdallaMORadiation Oncology Physician$352.8K$0
    Jooman ShimMOVascular & Interventional Radiology Physician$262K$0
    Philipp WiesnerMOInterventional Cardiology Physician$250.5K$0
    Joshua DimmickMODermatology Physician$209.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David TrueMORheumatology Physician$477.4K$2K
    Rachelene MiddletonMOFamily Medicine Physician$57.2K$0
    Food Merchants, LLCMOLong Term Care Pharmacy$8.1K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Gregory Lyford — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri