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.

Clark Laprelle (NPI 1306396338)

Field	Value
Entity Type	Individual
Organization	Clark Laprelle
Address	6354 Walker Ln Ste 300
City	Alexandria
State	VA
ZIP	22310
Taxonomy	Physician Assistant
NPI Enumerated	October 14, 2016

Payer Source	Total Paid
Medicare	$10.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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	$6.3K
20610	In 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…	40	$40	$1.3K
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…	20	$50	$1.1K
73502	In 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…	30	$30	$750
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	30	$20	$640
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	20	$20	$370
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	$1	$100
J2795	Injection, ropivacaine hydrochloride, 1 mg	130	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Clark Laprelle — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	5,225	12,440	90	$60	$10K
20610	711	1,160	60	$50	$6.1K
99203	3,341	4,920	30	$70	$3.8K
73562	452	710	40	$20	$2K
73502	597	940	40	$20	$1.6K
73030	840	990	50	$20	$1.4K
J3301	701	1,080	170	$1	$470
J2795	6	10	140	$1	$10

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Romness	VA	Orthopaedic Surgery Physician	$421K	$0
Danielle Cherrick	VA	Physical Medicine & Rehabilitation Physician	$304.7K	$0
Thomas Martinelli	VA	Orthopaedic Surgery Physician	$296.7K	$0
George Aguiar	VA	Orthopaedic Surgery Physician	$296.2K	$0
Behrang Mazahery	VA	Orthopaedic Surgery Physician	$291.7K	$0
William Petersen	VA	Orthopaedic Surgery Physician	$282.5K	$0
Steven Hughes	VA	Orthopaedic Surgery Physician	$263.8K	$0
David Novak	VA	Orthopaedic Surgery Physician	$202.9K	$0
William Mook	VA	Orthopaedic Surgery Physician	$201K	$0
Ronald Childs	VA	Orthopaedic Surgery Physician	$187.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gordon Byrnes	VA	Retina Specialist (Ophthalmology) Physician	$4.9M	$0
Sundeep Kasi	VA	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Reshma Katira	VA	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Franconia-springfield Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.6M	$275.4K
Simon Fishman	VA	Specialist	$624K	$0
Michael Abidin	VA	Otolaryngology/Facial Plastic Surgery Physician	$439.2K	$0
Peter Thomas	VA	Surgery of the Hand (Surgery) Physician	$157.7K	$0
Daniel Weingold	VA	Orthopaedic Surgery Physician	$154.1K	$0
Yvette Appiah	VA	Dermatology Physician	$136.2K	$0
Iyad Saidi	VA	Otolaryngic Allergy Physician	$124.6K	$0

Clark Laprelle — 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