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

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

Robert Lamberts (NPI 1376543082)

Field	Value
Entity Type	Individual
Organization	Robert Lamberts
Address	119 Davis Rd
City	Augusta
State	GA
ZIP	30907
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 22, 2005

Payer Source	Total Paid
Medicaid	$338.4K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

19 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…	4,420	$60	$243.2K
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…	1,280	$60	$74.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	530	$30	$16K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	200	$10	$2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	10	$120	$1.6K
0012A	N/A	10	$40	$490
0011A	N/A	10	$40	$480
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	10	$20	$240
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	140	$1	$140
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	120	$1	$120

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Robert Lamberts — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	177	920	370	$60	$360.6K
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…	264	820	390	$70	$245K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	131	250	660	$40	$172.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	137	160	190	$110	$129.7K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	249	260	350	$10	$30.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	148	250	330	$10	$29.9K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	47	70	330	$10	$18.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	122	190	280	$1	$16K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	67	110	380	$1	$4.9K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	132	140	500	$1	$4.7K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bolaji Odusina	GA	Pediatrics Physician	$0	$7.7M
Roberto Cossio	GA	Pediatrics Physician	$0	$874.8K
Mary Wiles	GA	Internal Medicine Physician	$452.8K	$0
Benjamin Abraham	GA	Family Medicine Physician	$376.5K	$0
Jody Velie	GA	Family Medicine Physician	$320.4K	$0
Daryl Wiley	GA	Family Medicine Physician	$273.6K	$730
Brian Griner	GA	Pediatrics Physician	$233.8K	$8.3K
Alfred Brannen	GA	Pulmonary Disease Physician	$192.3K	$32.4K
Tania Smith	GA	Pediatrics Physician	$0	$204.9K
Toby Bond	GA	Internal Medicine Physician	$185.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dental Specialists, P.C.	GA	Pediatric Dentistry	$0	$4.9M
Bencor Medical LLC	GA	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Gold Cross Ems, Inc.	GA	Land Ambulance	$2.5M	$618.6K
Still Waters Professional Counseling Services, Inc.	GA	Community/Behavioral Health Agency	$0	$2.9M
Caring Together, Inc	GA	Assisted Living Facility	$0	$1.7M
Able Kids Services LLC	GA	Behavior Analyst	$0	$1.5M
Leann Jean	GA	Professional Counselor	$0	$920.8K
Allison Paine	GA	Dermatology Physician	$450.1K	$0
John Downey	GA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$419.1K	$0
Cheryl Carswell	GA	Professional Counselor	$0	$348.4K

Robert Lamberts — Billing Profile & Reimbursement Data

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Robert Lamberts — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References