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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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 Lehn (NPI 1386971901)

Field	Value
Entity Type	Individual
Organization	Robert Lehn
Address	14 Manchester Sq
City	Portsmouth
State	NH
ZIP	03801
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	November 4, 2009

Payer Source	Total Paid
Medicare	$542.4K
Medicaid	$0

Key Findings

This provider is effectively an interventional pain practice focused on image‑guided spine procedures: the top revenue codes are 64483 ($119.8K, 22.1% of Medicare revenue), 22514 ($66.5K, 12.3%), and 64635 ($51.7K, 9.6%), and the precomputed top‑3 codes account for 43.9% of this provider's total Medicare revenue. The mix of transforaminal epidural injections (64483), vertebral augmentation/kyphoplasty (22514), and neurolytic facet procedures (64635) points to a workflow that relies on fluoroscopic/CT guidance and procedural capacity rather than purely office‑based care.

Medicare dominates this provider's payer mix: Total Medicare revenue is $542.4K while Total Medicaid revenue is none (no Medicaid billing on file), making the practice effectively single‑payer (Medicare) in the available claims data. Analysts should treat state Medicaid comparisons as inapplicable because there is no Medicaid billing on file to assess.

Several individual codes show above‑typical national volume, indicating local or regional concentration in specific injections: 64483 ranks #159 of 8202 providers nationally (98th percentile; notably above typical national volume) and 64484 ranks in the 98th percentile as well, while 99213 (639 claims, $41.5K, 7.7% of Medicare revenue) ranks #17187 of 457151 providers nationally (96th percentile; notably above typical national volume). These high percentiles suggest the provider is a high‑volume deliverer of routine outpatient spine injections and E/M visits compared with national peers.

There are code‑level outliers consistent with unusual product mix rather than overall scale: J0702 appears as an extreme outlier (2.6K claims, $13.2K revenue) and is listed at the 100th percentile (extreme outlier, far above typical national volume). This pattern indicates unusually high utilization of betamethasone acetate injections relative to national peers and is worth further review if medication mix or supply arrangements are of interest.

Revenue concentration is moderately high: the precomputed top‑3 share of 43.9% signals that a small set of interventional spine procedures drive a large portion of Medicare income for this NPI. That concentration—centered on high‑revenue procedural codes like 64483 and 22514—implies the business line is procedure‑dependent and may be sensitive to changes in procedure reimbursement or utilization.

The practice performs occasionally high‑value surgical procedures: 22514 has just 14 claims but a high average paid/claim ($4748) and contributes $66.5K (12.3%) to Medicare revenue, indicating the provider engages in percutaneous vertebral augmentation/kyphoplasty work in addition to outpatient injections. Despite the high per‑claim value, 22514 ranks in the 31st percentile nationally (typical, unremarkable volume), so these surgical cases are intermittent rather than a dominant national specialty.

Spinal cord stimulation implantation (63650) contributes meaningfully to revenue ($36.9K, 6.8% of Medicare revenue) but the provider ranks lower nationally for that code (#1166 of 1371 providers, 12th percentile; typical, unremarkable volume). This suggests the provider offers some neuromodulation services but is not a major national player for SCS implantation compared with dedicated implant centers.

The NPI has long tenure, enumerated 2009-11-04 (~17 years ago), which supports interpretation of these patterns as an established practice rather than a new entrant. Combined with high percentiles on several injection codes and absence of Medicaid billing, the profile describes an established, Medicare‑focused interventional pain operator with concentrated procedural revenue.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	540	$220	$119.8K
22514	The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…	10	$4,750	$66.5K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	100	$530	$51.7K
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…	640	$70	$41.5K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	30	$1,420	$36.9K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	160	$210	$32K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	100	$290	$28.2K
64484	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…	260	$90	$23.5K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	120	$150	$18.9K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	150	$110	$16.3K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Robert Lehn — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63650	2	10	30	$2,670	$104.1K
J3304	9	20	1,760	$10	$51.8K
22514	1	10	10	$2,550	$35.7K
0275T	1	10	10	$1,260	$20.2K
64635	5	40	40	$370	$16.1K
64483	1	40	60	$180	$15.4K
62323	29	50	80	$150	$13.8K
99214	2,495	3,150	110	$80	$13.2K
64493	3	50	60	$170	$12.6K
64633	8	10	20	$350	$7.8K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Akhilesh Sastry	NH	Orthopaedic Surgery Physician	$345.6K	$0
Joshua Greenspan	NH	Pain Medicine (Anesthesiology) Physician	$315.3K	$0
Michael Morwood	NH	Orthopaedic Surgery Physician	$292.3K	$0
Dorothy Kurtz Phelan	MA	Podiatrist	$283.8K	$0
Jesse Smith	NH	Diagnostic Radiology Physician	$226.4K	$0
Hiram Quitkin	NH	Specialist	$221K	$0
Gregory Bonci	MA	Diagnostic Radiology Physician	$214.9K	$0
Stephen Karshbaum	MA	Diagnostic Radiology Physician	$170K	$20.9K
Mayo Noerdlinger	NH	Orthopaedic Surgery Physician	$177.3K	$0
American Pain Institute LLC	NH	Interventional Pain Medicine Physician	$0	$174.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Viii, One Sky Community Services Inc.	NH	Case Management Agency	$0	$192.2M
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Seacoast Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$74.2M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$18.8M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M

Robert Lehn — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References