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

Why is the Medicaid comparison limited to New York 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. New York (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.

A. Lawrence Attia (NPI 1275575466)

Field	Value
Entity Type	Individual
Organization	A. Lawrence Attia
Address	350 W 58th St
City	New York
State	NY
ZIP	10019
Taxonomy	Gastroenterology Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicare	$250.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	750	$70	$52.7K
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…	450	$110	$51.3K
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…	370	$80	$29.8K
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…	150	$130	$19.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	220	$70	$15.3K
99205	The provider sees a new 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 provider…	70	$190	$13.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	90	$120	$10.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	60	$160	$9.2K
99442	N/A	100	$80	$7.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	50	$140	$7K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

A. Lawrence Attia — 1 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	974	1,100	40	$320	$19.4K
99285	2,721	4,130	90	$150	$19.3K
99214	3,372	30,450	90	$100	$19K
45380	501	1,220	40	$230	$15K
43239	720	1,290	50	$180	$14.2K
99232	518	11,850	80	$70	$13.8K
99213	3,722	31,440	80	$70	$12.1K
99215	989	8,280	40	$140	$10.1K
45378	282	690	20	$230	$8.3K
99284	4,228	4,380	60	$100	$6.7K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as A. Lawrence Attia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Roosevelt Hospital Center	NY	General Acute Care Hospital	$0	$190.5M
Karen Thornton	NY	Family Medicine Physician	$183K	$13.5M
West Side Gi, LLC	NY	Ambulatory Surgical Clinic/Center	$566.4K	$13M
Armistead Williams	NY	Neurology Physician	$6.7M	$0
Roosevelt Surgery Center, LLC	NY	Ambulatory Surgical Clinic/Center	$1.1M	$938.4K
Elizabeth Kavaler	NY	Urology Physician	$1.7M	$0
Esoterix Genetic Laboratories, LLC	NY	Clinical Medical Laboratory	$418.7K	$724.2K
Suelane Do Ouro	NY	Interventional Pain Medicine Physician	$682.3K	$332.8K
Robert Howard	NY	Registered Dietitian	$17K	$962.8K
James Stark	NY	Neurology Physician	$827.7K	$0

A. Lawrence Attia — Billing Profile & Reimbursement Data

Sign up for A. Lawrence Attia — Billing Profile & Reimbursement Data policy alerts

A. Lawrence Attia — Billing Profile & Reimbursement Data

Sign up for A. Lawrence Attia — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References