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

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

Edna Lucio (NPI 1245216654)

Field	Value
Entity Type	Individual
Organization	Edna Lucio
Address	337 Sheri Ln
City	Lake Jackson
State	TX
ZIP	77566
Taxonomy	Occupational Therapist
NPI Enumerated	December 16, 2005

Payer Source	Total Paid
Medicare	$47.3K
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
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	720	$20	$16.5K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	600	$20	$12K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	710	$20	$11.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	170	$20	$3.3K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	40	$50	$2.2K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	30	$70	$1.8K

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. Texas Distribution

Edna Lucio — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	640	2,720	350	$20	$14.3K
97112	751	2,900	300	$20	$10.8K
97140	307	2,750	190	$20	$5.6K
97535	124	490	60	$20	$3.2K
97166	53	140	20	$80	$2K
97168	7	20	30	$50	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oxbow Emergency Physicians PLLC	TX	Emergency Medicine Physician	$0	$14.9M
Gulf Coast Primary Home Care Inc	TX	Home Health Agency	$0	$12.8M
Rajesh Dalal	TX	Internal Medicine Physician	$329K	$0
Alkesh Amin	TX	Internal Medicine Physician	$283.9K	$0
Meah Asc Management, LLC	TX	Ambulatory Surgical Clinic/Center	$279.5K	$2.1K
Brazosport Eye Facility, Inc.	TX	Ambulatory Surgical Clinic/Center	$260.4K	$0
Jonathan Day	TX	Diagnostic Radiology Physician	$245.1K	$0
Nizam Meah	TX	Gastroenterology Physician	$215.4K	$0
Jonathan Grady	TX	Ophthalmology Physician	$170.6K	$0
Umair Siddiqui	TX	Gastroenterology Physician	$142.2K	$0

Edna Lucio — Billing Profile & Reimbursement Data

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Edna Lucio — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References