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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Lyions
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    James Lyions — Billing Profile & Reimbursement Data

    NPI 1255569414 · Maumee, OH · Orthopaedic Surgery Physician

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    James Lyions is a orthopaedic surgery physician provider located in Maumee, Ohio. This profile covers 20 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Lyions
    Address5755 Monclova Rd
    CityMaumee
    StateOH
    ZIP43537
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 26, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$119K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$990$40.6K
    99214The 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…250$90$22.1K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$920$14.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…210$50$10.2K
    99213The 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…130$60$6.9K
    99204The 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…70$110$6.8K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…10$310$4.4K
    99203The provider sees a new 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 provider…70$70$4.4K
    J1040Injection, methylprednisolone acetate, 80 mg220$10$1.8K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…50$30$1.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744718154030$1,280$52.4K
    2713026634020$1,250$38.8K
    6472110613030$400$13.9K
    992144,05720,010100$70$11.7K
    992136,16220,00070$50$6.6K
    206102101,64060$50$4.7K
    992041,4448,33030$100$4.4K
    992031,2426,38030$60$2.9K
    2055026537030$30$1.6K
    2060022623030$30$1.3K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health Physicians North Specialty Care LLCOHSurgery Physician$0$13.1M
    Ahed NahhasOHCardiovascular Disease Physician$375.9K$0
    Ghiath YazjiOHCardiovascular Disease Physician$366.6K$0
    Omar KhanOHUrology Physician$284.9K$0
    Anil MuddadaOHNephrology Physician$283.9K$0
    Mohammed AloOHCardiovascular Disease Physician$256.6K$27.2K
    Vivek AgarwalOHNephrology Physician$252.8K$0
    Thomas AndreshakOHOrthopaedic Surgery Physician$252.4K$0
    Mohammad OwaisTXNeurology Physician$238.9K$0
    Sinan AloOHCardiovascular Disease Physician$224.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Midwest Detox Center LLCOHSubstance Abuse Rehabilitation Facility$0$36.7M
    Abc Health Care, Inc.OHHome Health Agency$0$24.8M
    Unique Health Care Solutions, LLCOHHome Health Agency$0$11.8M
    Darah Medical Equipment And Supplies LLCOHDurable Medical Equipment & Medical Supplies$0$7.8M
    John RosenthalOHRetina Specialist (Ophthalmology) Physician$341.1K$10.1K
    Munir ShahOHInternal Medicine Physician$205.4K$0
    Andrew CroakOHUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$191.5K$0
    Wainwright JaggernauthOHRadiation Oncology Physician$171.4K$0
    Benjamin SalpietroOHOrthopaedic Surgery Physician$159.4K$0
    John LaneOHPodiatrist$159.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    James Lyions — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio