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

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

Drew Lambert (NPI 1255400875)

Drew Lambert is a diagnostic radiology physician provider located in Charlottesville, Virginia. This profile covers 27 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Drew Lambert
Address	Lee St Fl 1
City	Charlottesville
State	VA
ZIP	22908
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicare	$55.9K
Medicaid	$0

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	230	$80	$17.4K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	70	$130	$8.6K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	570	$10	$4K
50592	The provider ablates, or destroys, one or more small renal masses, in a minimally invasive surgical procedure using radiofrequency heat applied through a percutaneous needle.	20	$260	$3.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	60	$70	$3.7K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	100	$30	$2.8K
77013	In this procedure, the provider uses computed tomography guidance to locate the parenchymal tissues, meaning the distinctive tissues of an organ or growth, and to monitor their ablation. Use this…	20	$150	$2.3K
74230	The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…	80	$20	$1.5K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	30	$40	$1.2K
74221	The provider performs a double–contrast X–ray of the esophagus using high–density barium and an effervescent agent; the procedure includes scout films prior to ingestion of the barium and delayed…	50	$20	$1.2K

Showing 1–10 of 27

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	157	590	150	$80	$15.1K
74183	63	200	40	$130	$10K
74176	372	560	80	$70	$6.8K
93970	396	480	40	$60	$4.4K
71045	540	640	410	$10	$3.9K
50592	1	10	20	$260	$3.6K
A9585	62	80	5,960	$1	$3.2K
93971	328	520	50	$40	$3.2K
76770	292	470	40	$40	$3.1K
76536	231	380	40	$50	$3K

Drew Lambert — Billing Profile & Reimbursement Data

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Drew Lambert — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References