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

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

Evelyn Li (NPI 1235142761)

Evelyn Li is a specialist provider located in Fremont, California. This profile covers 48 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)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Evelyn Li
Address	46356 Warm Springs Blvd
City	Fremont
State	CA
ZIP	94539
Taxonomy	Specialist
NPI Enumerated	August 14, 2006

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64450	The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.	16,350	$40	$686.8K
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…	4,710	$120	$574.7K
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…	1,530	$170	$260.6K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	690	$130	$88.6K
G0166	External counterpulsation, per treatment session	740	$110	$80.8K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	6,410	$10	$70.5K
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…	160	$270	$43K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	770	$40	$31.4K
99483	The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…	120	$260	$31.1K
99489	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	390	$70	$26.4K

Showing 1–10 of 48

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0166	5	10	580	$100	$88.1K
G0181	110	380	60	$90	$42.9K
93306	1,972	2,400	240	$110	$34.1K
99489	32	120	130	$60	$31.8K
99490	821	1,060	210	$50	$25.8K
99214	9	37,970	120	$90	$23.2K
99487	13	220	90	$100	$22.9K
G3002	16	30	90	$70	$19.6K
99483	36	230	40	$210	$18.3K
99491	68	130	110	$70	$18K

Evelyn Li — Billing Profile & Reimbursement Data

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Evelyn Li — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

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