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

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

Karen Lim (NPI 1316073836)

Field	Value
Entity Type	Individual
Organization	Karen Lim
Address	377 W River Woods Pkwy Ste 201
City	Glendale
State	WI
ZIP	53212
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicare	$119.6K
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
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	800	$100	$75.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	610	$70	$40.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	30	$80	$2.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	20	$50	$830
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	20	$30	$530
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	20	$30	$510

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. Wisconsin Distribution

Karen Lim — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	39	400	120	$70	$15.8K
99310	5	210	80	$100	$15.4K
99349	156	190	80	$80	$15.2K
99308	266	290	60	$50	$7.7K
99348	137	160	50	$40	$4K
99347	41	50	40	$30	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cleanslate Medical Group Of Wisconsin, Sc	WI	Addiction Medicine (Internal Medicine) Physician	$0	$17.1M
Ana Perelman	WI	Internal Medicine Physician	$368.6K	$0
Sathish Kumar Cullath Harikrishnan	IL	Hospitalist Physician	$153.6K	$200.1K
Fahad Iqbal	WI	Cardiovascular Disease Physician	$142.2K	$157.7K
Ryan Holzmacher	WI	Internal Medicine Physician	$293.1K	$0
Ayman Yaish	WI	Otolaryngology/Facial Plastic Surgery Physician	$264.8K	$0
Sarfraz Sidhu	WI	Internal Medicine Physician	$232.6K	$0
Sara Stein	WI	Nurse Practitioner	$180.9K	$0
Michael Sullivan	WI	Family Medicine Physician	$166.7K	$0
Dina Sotola	WI	Family Nurse Practitioner	$164.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Milwaukee Health Services, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$9.4M
Christopher Mcaboy	WI	Dentist	$0	$9M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$149.9K	$7.3M
Planned Parenthood Of Wi, Inc	WI	Ambulatory Family Planning Facility	$0	$4.8M
Fortunate Futures	WI	Case Management Agency	$0	$4.6M
Outreach Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$3.8M
Children's Medical Group	WI	Pediatrics Physician	$0	$3.6M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.4M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.2M

Karen Lim — Billing Profile & Reimbursement Data

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Karen Lim — 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