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

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

Katherine Lane (NPI 1417179029)

Field	Value
Entity Type	Individual
Organization	Katherine Lane
Address	55 Timber Ln
City	South Burlington
State	VT
ZIP	05403
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicare	$201.9K
Medicaid	$0

Key Findings

This provider is effectively single‑payer: all recorded public claims are Medicare with total Medicare revenue of $201.9K and no Medicaid billing on file. The absence of Medicaid activity means this profile reflects a Medicare-centric practice and limited exposure to state‑program volumes or Medicaid patient panels.

Revenue is concentrated in a small set of codes: the precomputed top 3 Medicare codes account for 40.2% of total Medicare revenue, with 15823 alone representing 20.1% ($40.1K), 99204 representing 10.5% ($20.9K), and 67903 representing 9.6% ($19.2K). This concentration signals that a few procedure types and higher‑level new‑patient visits drive most of the billings.

The code mix points to an oculoplastic and general ophthalmology practice model: high revenue from eyelid surgery (15823 blepharoplasty, 67903 internal levator ptosis repair, 67917 extensive ectropion repair) combined with evaluation & management for new and established patients (99204, 92014) and diagnostic testing (92083 visual field testing). The presence of J0588 (incobotulinumtoxin a) and 64612 (facial nerve chemical denervation) further indicates the practice performs both therapeutic and cosmetic facial procedures alongside core ophthalmic care.

Competitive standing across codes is mixed: 99204 ranks #6043 of 227068 providers nationally (97th percentile; notably above typical national volume for this code), indicating an unusually high volume of moderate‑complexity new‑patient visits relative to peers, while 15823 ranks #431 of 1718 (74th percentile) and 67903 ranks #44 of 191 (77th percentile), both described as typical or unremarkable volumes in their national peer sets. In short, the provider appears to be a modest participant overall but shows above‑typical activity specifically in higher‑level new‑patient E/Ms.

There are some procedural volume characteristics that limit revenue impact despite high claim counts: J0588 shows 3.3K claims but only $13.2K in revenue (6.6% of total Medicare revenue) and ranks #158 of 216 providers nationally (27th percentile; typical, unremarkable volume for this code), so frequent low‑unit/low‑paid injections contribute claims volume without driving large revenue. Conversely, higher‑paid surgical codes such as 15823 (64 claims, $627 avg paid/claim) and 67903 (38 claims, $505 avg paid/claim) are the primary revenue drivers despite fewer claims.

The practice delivers a full diagnostic/ambulatory ophthalmology capability: eye exam codes 92014 (142 claims, $11.9K, 6.0% of revenue) and 92012 (88 claims, $5.7K) plus visual field testing 92083 (110 claims, $5K, 2.5% of revenue) and imaging 92133 (58 claims, $1.5K) indicate routine follow‑up and diagnostic throughput that supports the surgical and injection services. These ancillary services suggest a workflow that combines office‑based diagnostics with outpatient oculoplastic procedures.

The provider has a long NPI tenure — enumerated 2007-05-03 (~19 years ago) — indicating an established presence in the South Burlington market. Despite this longevity, the overall Medicare revenue level ($201.9K) is modest, implying either a small practice scale or a focused scope of services rather than a large multi‑provider operation.

For payers and network managers, this profile represents a small but concentrated Medicare exposure: total Medicare revenue is $201.9K and revenue is driven principally by a few oculoplastic procedures and higher‑level new‑patient visits. Given no Medicaid billing on file, Medicaid networks should not expect meaningful volume from this provider, while Medicare plans may prioritize credentialing if they need capacity for eyelid surgery and higher‑complexity outpatient ophthalmology evaluations.

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	60	$630	$40.1K
99204	The provider sees a new 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 provider…	190	$110	$20.9K
67903	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove an obstruction to a patient’s vision. He accesses the…	40	$510	$19.2K
67917	During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…	40	$420	$15.8K
J0588	Injection, incobotulinumtoxin a, 1 unit	3,290	$1	$13.2K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	140	$80	$11.9K
67924	During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…	20	$420	$9.7K
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…	100	$90	$8.9K
64612	In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.	80	$90	$7.5K
68840	This procedure is the probing of the lacrimal canaliculi with or without irrigation.	50	$120	$6.1K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Katherine Lane — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15823	2	10	90	$550	$52K
67903	2	10	50	$520	$28.2K
67917	2	10	50	$510	$23.8K
92014	60	100	200	$80	$19.6K
67924	2	10	30	$520	$14K
14060	5	10	30	$520	$12.9K
J0588	1	10	3,290	$1	$12.7K
99214	439	960	90	$70	$10.6K
64612	1	10	70	$90	$6.8K
99213	572	910	80	$50	$6.7K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vermont Eye Surgery & Laser Center	VT	Ambulatory Surgical Clinic/Center	$1.8M	$2.7K
Peter Rapoza	MA	Ophthalmology Physician	$494.1K	$0
Joshua Hardin	VA	Ophthalmology Physician	$413.3K	$0
Ellen Koo	FL	Ophthalmology Physician	$404.7K	$0
Praveen Keshava	VT	Ophthalmology Physician	$331.9K	$0
Gregory Mccormick	VT	Ophthalmology Physician	$282.6K	$0
Juli Larson	VT	Ophthalmology Physician	$161.8K	$0
Robert Mcglynn	OR	Glaucoma Specialist (Ophthalmology) Physician	$144.4K	$0
Jillian Kaplita	CT	Ophthalmology Physician	$140K	$0
Pete Spitellie	VT	Anesthesiology Physician	$96.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nfi Vermont, Inc	VT	Clinic/Center	$0	$33.6M
Bla Partners, LLC	VT	Clinical Medical Laboratory	$0	$15.2M
Timberlane Dental Group	VT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.5M
Tms Vt, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$2.9M
Michelle Young	VT	Ophthalmology Physician	$2.1M	$0
Howard Center Inc	VT	Psychiatry Physician	$0	$2M
David Weissgold	VT	Ophthalmology Physician	$1.7M	$0
Surgi-care Inc	VT	Prosthetic/Orthotic Supplier	$0	$1.7M
City Of So Burlington	VT	Ambulance	$400.9K	$1M
Green Mountain Pediatric Dentistry, PLLC	VT	Pediatric Dentistry	$0	$1.3M

Katherine Lane — Billing Profile & Reimbursement Data

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Katherine Lane — 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