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.

Lauren Fournier (NPI 1285052894)

Field	Value
Entity Type	Individual
Organization	Lauren Fournier
Address	2401 S 31st St
City	Temple
State	TX
ZIP	76508
Taxonomy	Neurology Physician
NPI Enumerated	April 1, 2014

Payer Source	Total Paid
Medicare	$39.7K
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
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	120	$160	$18.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$130	$9K
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…	70	$100	$6.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$90	$3.8K
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…	30	$60	$1.8K
99446	A consulting physician or other qualified healthcare professional performs a five– to 10–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…	30	$10	$360

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

Lauren Fournier — 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
99233	6,978	9,320	100	$90	$17.9K
99232	9,728	11,790	100	$60	$15.8K
99291	916	4,720	50	$160	$13.6K
99223	3,299	9,990	40	$130	$9.5K
99222	1,532	7,910	30	$100	$4.9K
99446	6	20	20	$10	$400

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott & White Memorial Hospital	TX	General Acute Care Hospital	$0	$55.1M
Scott & White Clinic	TX	Internal Medicine Physician	$0	$45.6M
Nilan Naik	TX	Radiation Oncology Physician	$906.8K	$0
Matthew Jepson	TX	Internal Medicine Physician	$361.6K	$0
Johnny Ross	TX	Physical Medicine & Rehabilitation Physician	$322.1K	$0
Jeffrey Knabe	TX	Orthopaedic Surgery Physician	$284K	$0
Gregory Stenoien	TX	Diagnostic Radiology Physician	$275.1K	$0
Daniel Dubose	TX	Anesthesiology Physician	$242.1K	$0
Mehul Patel	TX	Radiation Oncology Physician	$231.8K	$0
Kirby Hitt	TX	Orthopaedic Surgery Physician	$223K	$0

Lauren Fournier — Billing Profile & Reimbursement Data

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Lauren Fournier — 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