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

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

Libbie Lapp (NPI 1225104052)

Field	Value
Entity Type	Individual
Organization	Libbie Lapp
Address	175 Commons Loop
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Medical Physician Assistant
NPI Enumerated	November 24, 2006

Payer Source	Total Paid
Medicare	$89.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	630	$50	$30.1K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	480	$30	$15.5K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	2,010	$1	$8K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	130	$60	$7.9K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	70	$100	$7.3K
99203	The provider sees a new 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 provider…	100	$50	$5.5K
11311	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.	50	$70	$3.6K
11301	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.	50	$50	$2.9K
99212	The 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,…	70	$30	$2.2K
17111	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of 15 lesions or more, other than skin tags or…	20	$80	$1.6K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Libbie Lapp — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11102	72	80	150	$50	$9.7K
17000	24	110	190	$30	$9.6K
17110	32	80	100	$70	$9.3K
17004	14	50	40	$110	$8.3K
99213	36	1,730	90	$50	$7.2K
11311	4	10	60	$80	$6.3K
11301	4	10	100	$70	$5.9K
17003	17	90	860	$1	$4.8K
11302	4	10	40	$80	$3.7K
17111	5	10	20	$90	$3.5K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dermatology Associates Pllp	MT	Dermatology Physician	$0	$690.3K
Andrew Shors	MT	Dermatology Physician	$654.8K	$0
Blake Sampson	UT	Dermatology Physician	$592.7K	$0
Thomas George	MT	Dermatology Physician	$405.3K	$0
Kathryn Hansen	MT	Dermatology Physician	$267.3K	$0
Julie Gessler	MI	Dermatology Physician	$154.3K	$0
Coe Mcgrath	TN	Medical Physician Assistant	$141.9K	$0
Mackenzie George	MT	Medical Physician Assistant	$95.2K	$0
Brooke Schmidt	MT	Medical Physician Assistant	$81.7K	$0
Maureen Kunz	MT	Medical Physician Assistant	$59.5K	$0

Libbie Lapp — Billing Profile & Reimbursement Data

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Libbie Lapp — 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

Frequently Asked Questions

References