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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

James Lessard (NPI 1447213665)

Field	Value
Entity Type	Individual
Organization	James Lessard
Address	Uss Abraham Lincoln # 72
City	Fpo
State	AP (Armed Forces Pacific)
ZIP	96612
Taxonomy	Physician Assistant
NPI Enumerated	April 10, 2006

Payer Source	Total Paid
Medicare	$14.8K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is very small in absolute terms: total Medicare revenue is $14.8K and there is no Medicaid billing on file (none below). The absence of any Medicaid revenue makes this effectively a single‑payer Medicare billing profile rather than a mixed‑payer practice.

Revenue is highly concentrated in three codes: 99203 ($5.6K, 38.2%), 99213 ($4.9K, 32.8%) and 87428 ($1.8K, 12.3%); the precomputed top‑3 share accounts for 83.4% of the provider’s total Medicare revenue. This level of concentration indicates the business is driven by a small set of visit and respiratory testing services.

The code mix points to an outpatient clinic model focused on evaluation & management visits plus on‑site respiratory infectious disease testing. High shares from 99203 and 99213 indicate new and established office visits are the principal service lines, while 87428 (SARS/flu antigen immunoassay) and nearby lab codes (87426, 87804, 87880) show routine point‑of‑care or laboratory testing for respiratory pathogens.

99203 performs above typical national activity for this code: it ranks #22207 of 161519 providers nationally (86th percentile; typical, unremarkable volume for this code), suggesting relatively stronger new‑patient visit volume compared with peers. By contrast, 99213 is more mid‑range, ranking #190982 of 457151 providers nationally (58th percentile; typical, unremarkable volume for this code), so established‑patient visit volume is less differentiated.

Respiratory testing shows mixed competitive standing: 87428 ranks #1910 of 10591 providers nationally (81th percentile; typical, unremarkable volume for this code), indicating above‑typical activity for that specific SARS/flu immunoassay, while 87426 ranks #9566 of 17750 (44th percentile) and 87804 ranks #8924 of 18603 (50th percentile), reflecting uneven volume across different test types. Other test codes such as 87880 rank #3570 of 18238 (79th percentile) and 87807 ranks #346 of 496 (24th percentile), underscoring a pattern of strength in some rapid diagnostic tests but not uniformly across all lab services.

One notable data anomaly is J1100: 151 claims are listed with $0 avg paid/claim and $0 revenue, yet the code still appears in the top‑25 list and ranks #14763 of 23460 providers nationally (37th percentile; typical, unremarkable volume for this code). This high claim count with zero reported Medicare revenue is an operational signal worth reviewing (billing practice, bundling, or reporting quirks) rather than a revenue driver.

The provider has a long enrollment history: NPI enumerated 2006-04-10 (~20 years ago). Long tenure on the Medicare registry suggests established participation in the Medicare program, even though current billed Medicare revenue is small.

From a payer‑strategy and contracting perspective, the absolute dollar scale ($14.8K total Medicare revenue) and heavy dependence on a few visit and test codes limit negotiating leverage and make this provider a modest participant in Medicare networks. The lack of any Medicaid claims on file further narrows patient‑mix exposure and implies negligible Medicaid network value unless state billing appears under different taxonomy or entity affiliations.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The provider sees a new 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 provider…	90	$60	$5.6K
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…	100	$50	$4.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	50	$40	$1.8K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	20	$40	$770
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.	40	$20	$640
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.	40	$20	$580
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	30	$10	$220
87807	The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.	10	$10	$180
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	20	$1	$40
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	10	$1	$30

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

James Lessard — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3	10	30	$50	$4.2K
99203	2	10	20	$60	$2.6K
87428	1	10	50	$40	$1.8K
87804	4	10	90	$20	$1.3K
87426	1	10	20	$30	$760
96372	3	10	30	$10	$350
87880	1	10	20	$20	$340
87807	1	10	10	$10	$180
81003	2	10	20	$1	$50
96127	1	10	10	$1	$30

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Med First Immediate Care & Family Practice, PA	NC	Family Medicine Physician	$0	$14.8M
Rodolfo Reyes	NC	Internal Medicine Physician	$342K	$0
Kenneth Shank	NC	Family Medicine Physician	$201.1K	$0
Chukwuemeka Oji	AZ	Hospitalist Physician	$130.9K	$0
Edward Haga	NC	Family Medicine Physician	$129.1K	$0
Brenda Scronce	NC	Physician Assistant	$79.3K	$0
Maria Dichoso-wood	NC	Family Medicine Physician	$67.9K	$0
Veronica Brady	NC	Nurse Practitioner	$33K	$0
Christine Han	NC	Physician Assistant	$31K	$0
Betty Abernathy	SC	Family Nurse Practitioner	$8.6K	$0

James Lessard — Billing Profile & Reimbursement Data

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James Lessard — 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

Frequently Asked Questions

References