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

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

Lydia Danso (NPI 1235797135)

Field	Value
Entity Type	Individual
Organization	Lydia Danso
Address	450 S Washington St Ste A
City	Gettysburg
State	PA
ZIP	17325
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 5, 2019

Payer Source	Total Paid
Medicare	$85.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	820	$80	$62.2K
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…	130	$120	$14.9K
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…	110	$50	$5.2K
99204	The provider sees a new 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 provider…	20	$110	$2.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	30	$20	$770
J1940	Injection, furosemide, up to 20 mg	90	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Lydia Danso — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	502	23,230	100	$80	$14.5K
99215	1,015	7,170	40	$120	$8.6K
99213	7,669	22,370	70	$60	$7.7K
99204	6,880	10,290	30	$110	$5K
96374	16	40	30	$30	$1.4K
J1940	1	10	30	$1	$20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellspan Medical Group	PA	Psychiatry Physician	$0	$22.3M
Wellspan Medical Group	PA	Pediatrics Physician	$0	$9.9M
Ki Hassler	FL	Cardiovascular Disease Physician	$858.6K	$0
Matthew Singleton	PA	Clinical Cardiac Electrophysiology Physician	$409.6K	$410
Duane Whitlock	PA	Specialist	$392.1K	$0
George Logothetis	PA	Cardiovascular Disease Physician	$355.9K	$3.1K
Martin Albornoz	MD	Interventional Cardiology Physician	$230K	$0
Gregory Fazio	PA	Clinical Cardiac Electrophysiology Physician	$214.3K	$370
Jefferson Lee	PA	Clinical Cardiac Electrophysiology Physician	$198.2K	$180
Anthony Johnson	PA	Clinical Cardiac Electrophysiology Physician	$162.6K	$130

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Gettysburg Hospital	PA	General Acute Care Hospital	$0	$7.6M
Satish Shah	PA	Hematology & Oncology Physician	$675.6K	$2.7K
Tina Khair	PA	Hematology & Oncology Physician	$608.8K	$0
William Adair	PA	Family Medicine Physician	$477.1K	$0
Adam Wasserman	PA	Hospitalist Physician	$467.2K	$2.1K
Thomas Huff	PA	Physical Therapist	$284.2K	$0
Robert Gillis	PA	Orthopaedic Surgery Physician	$218.1K	$280
Angela Blain	PA	Nurse Practitioner	$186.4K	$12.3K
Ikechukwu Akunyili	PA	Hematology & Oncology Physician	$184K	$0
Margaret Fischer	PA	Clinical Cardiac Electrophysiology Physician	$177.1K	$0

Lydia Danso — Billing Profile & Reimbursement Data

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Lydia Danso — 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