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

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

Gregory Lafontaine (NPI 1265768675)

Field	Value
Entity Type	Individual
Organization	Gregory Lafontaine
Address	3062 Kingsdale Ctr
City	Columbus
State	OH
ZIP	43221
Taxonomy	Physician Assistant
NPI Enumerated	October 20, 2009

Payer Source	Total Paid
Medicare	$12.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	120	$50	$5.5K
99203	The 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	$60	$3.9K
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…	20	$70	$1.5K
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…	10	$70	$780
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	10	$30	$460
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	10	$20	$180
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	20	$1	$50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Gregory Lafontaine — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	17,808	20,010	100	$70	$11.7K
99213	6,691	20,000	70	$50	$6.6K
99204	7,614	8,330	30	$100	$4.4K
99203	1,081	6,380	30	$60	$2.9K
87428	181	280	20	$30	$800
87430	8	10	20	$20	$270
81003	888	1,760	20	$1	$140

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Emergency Services, Inc.	OH	Emergency Medicine Physician	$0	$12.2M
Megan Giere	NC	Physician Assistant	$162.8K	$0
Justin Adkins	OH	Emergency Medicine Physician	$82.4K	$0
Philliph Bialecki	DE	Emergency Medicine Physician	$57.5K	$0
Trisha Ruby	OH	Family Nurse Practitioner	$19.9K	$3.4K
Michael Rankin	OH	Emergency Medicine Physician	$23.1K	$0
Whitney Khaira	OH	Physician Assistant	$21.8K	$0
Sara Rush	OH	Physician Assistant	$20.3K	$0
Steven Miles	OH	Physician Assistant	$18K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Seaman	OH	Neurological Surgery Physician	$450.4K	$0
Kathryn Shahwan	OH	MOHS-Micrographic Surgery Physician	$225.5K	$0
Dominic Mastruserio	OH	Dermatology Physician	$161.4K	$0
Mary Breckenridge	OH	Cardiovascular Disease Physician	$158.5K	$0
Ward Buster	OH	Neurological Surgery Physician	$145.1K	$0
The Tamarkin Company	OH	Community/Retail Pharmacy	$135.6K	$0
David Hinkle	OH	Neurology Physician	$128.5K	$0
Angela Blose	OH	Family Nurse Practitioner	$101.2K	$0
William Pease	OH	Physical Medicine & Rehabilitation Physician	$92.3K	$0
Amy Glenn	OH	Adult Health Nurse Practitioner	$84.3K	$0

Gregory Lafontaine — 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