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

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

Edward Lyons (NPI 1316962483)

Field	Value
Entity Type	Individual
Organization	Edward Lyons
Address	1211 Coolidge Blvd
City	Lafayette
State	LA
ZIP	70503
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$47.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	480	$80	$40K
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…	30	$100	$3.3K
99415	The clinical staff spends additional time directly with the patient on an office or outpatient evaluation and management service. Use this code for the first hour of additional time that the staff…	150	$10	$1.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	100	$10	$1K
J3410	Injection, hydroxyzine hcl, up to 25 mg	70	$10	$530
J1885	Injection, ketorolac tromethamine, per 15 mg	480	$1	$480
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	60	$10	$320
99416	The clinical staff spends additional time directly with the patient on an office or outpatient evaluation and management service. Use this code for each additional 30 minutes of additional time that…	30	$10	$140
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	$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 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Edward Lyons — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	778	6,670	110	$80	$16.5K
99215	862	1,650	40	$110	$8.4K
99415	1	10	150	$10	$1.7K
96372	396	1,600	50	$10	$820
J0702	310	550	80	$1	$690
J3410	1	10	70	$10	$550
J3301	376	450	130	$1	$280
99416	1	10	30	$10	$150
J1885	10	400	70	$1	$50

Edward Lyons — Billing Profile & Reimbursement Data

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Edward Lyons — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References