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

Why is the Medicaid comparison limited to Florida 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. Florida (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 Lomax (NPI 1326562869)

Field	Value
Entity Type	Individual
Organization	Karen Lomax
Address	11146 Mainsail Ct
City	Wellington
State	FL
ZIP	33449
Taxonomy	Clinical Social Worker
NPI Enumerated	July 26, 2017

Payer Source	Total Paid
Medicare	$98.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	930	$90	$80K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	150	$60	$9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	150	$60	$8.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$10	$150

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Karen Lomax — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	53	1,240	220	$100	$30.6K
90834	193	500	110	$70	$12.6K
90791	656	930	20	$120	$6.2K
90847	3	20	50	$70	$4.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kishore Dass	FL	Radiation Oncology Physician	$1.5M	$0
Sean Sawh	FL	Urology Physician	$525.4K	$0
Lawrence Strong	FL	Procedural Dermatology Physician	$465.8K	$0
Neerav Shah	FL	Cardiovascular Disease Physician	$391.8K	$0
Sophia Lyn Chinque	FL	Adult Health Nurse Practitioner	$95.3K	$0
Rafael Lopez	FL	Urology Physician	$67.9K	$0
Michael Stewart	FL	Radiation Oncology Physician	$52.1K	$0
Heather Hershberger	FL	Family Nurse Practitioner	$13.3K	$0

Karen Lomax — Billing Profile & Reimbursement Data

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Karen Lomax — 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