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

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

Lori Lalime (NPI 1225509052)

Field	Value
Entity Type	Individual
Organization	Lori Lalime
Address	133 Corporate Dr
City	Bangor
State	ME
ZIP	04401
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	December 5, 2018

Payer Source	Total Paid
Medicare	$13.2K
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
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	80	$110	$8.3K
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…	60	$60	$3.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$100	$1.1K
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…	20	$30	$510

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. Maine Distribution

Lori Lalime — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,477	2,500	70	$70	$7.2K
99213	2,154	2,350	50	$50	$4.3K
90792	3	60	20	$110	$3.2K
90791	55	60	20	$90	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Aroostook Medical Center	ME	General Acute Care Hospital	$0	$38.5M
Maine Coast Regional Health Facilities	ME	General Acute Care Hospital	$0	$24.8M
Acadia Hospital Corp	ME	Psychiatric Hospital	$0	$14.2M
Mrh Corp.	ME	Family Medicine Physician	$0	$4.2M
Mrh Corp.	ME	Critical Access Hospital	$0	$3.7M
Sebasticook Valley Health	ME	Critical Access Hospital	$0	$3.6M
Sebasticook Valley Health	ME	Rural Health Clinic/Center	$0	$2.8M
Bridgton Hospital	ME	Critical Access Hospital	$0	$2.5M
Rumford Hospital	ME	Critical Access Hospital	$0	$2.4M
Mrh Corp.	ME	Family Medicine Physician	$0	$1.9M

Lori Lalime — Billing Profile & Reimbursement Data

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Lori Lalime — 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