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

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

Carlton Lee (NPI 1396150413)

Field	Value
Entity Type	Individual
Organization	Carlton Lee
Address	1625 Nashville St
City	Russellville
State	KY
ZIP	42276
Taxonomy	Family Medicine Physician
NPI Enumerated	June 26, 2014

Payer Source	Total Paid
Medicare	$33.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	130	$130	$17.2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	150	$90	$13.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	$50	$1.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	20	$30	$600
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	60	$10	$340

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Carlton Lee — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	406	1,020	100	$130	$18.7K
99284	105	1,030	70	$90	$6.9K
93010	616	890	120	$10	$1.9K
99283	105	540	20	$50	$1.5K
99282	7	30	20	$30	$530

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Emergency Physicians LLC	KY	Emergency Medicine Physician	$0	$208.5M
Southeastern Emergency Physicians Of Memphis LLC	IL	Emergency Medicine Physician	$0	$26.5M
Trigg County Hospital, Inc	KY	Critical Access Hospital	$0	$7.9M
Clark Emergency Physicians	KY	Emergency Medicine Physician	$0	$6.7M
Brian Smith	KY	Family Medicine Physician	$192.9K	$3.2M
Sayuri Cheruvu	IN	Medical Oncology Physician	$934.1K	$0
Derinbhai Patel	TX	Internal Medicine Physician	$666.3K	$0
Leann Nitz	IL	Family Nurse Practitioner	$524.8K	$71.9K
Trigg County Hospital Inc.	KY	Land Ambulance	$285K	$229.9K
Emily Langlois	KY	Nurse Practitioner	$450.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Logan Memorial Hospital LLC	KY	Rural Acute Care Hospital	$0	$14.3M
Kamal Singh	KY	Internal Medicine Physician	$572.2K	$0
Kushal Singh	KY	Internal Medicine Physician	$342K	$0
Muhammad Ahmed	KY	Pulmonary Disease Physician	$228.7K	$0
Patrick Hayden	KY	Family Medicine Physician	$192.4K	$0
Katherine Gilliam	KY	Family Medicine Physician	$106.8K	$0
David Mcclain	KY	Family Nurse Practitioner	$7.7K	$63K
Alannah Robertson	KY	Speech-Language Pathologist	$47.5K	$0
Amy Webster	KY	Family Nurse Practitioner	$44.6K	$0
Kimberly Buckner	KY	Psychiatric/Mental Health Nurse Practitioner	$11.7K	$0

Carlton Lee — Billing Profile & Reimbursement Data

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Carlton Lee — 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