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

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

Lags Spine And Sportscare Medical Centers Inc (NPI 1447244256)

Lags Spine And Sportscare Medical Centers Inc is a pain medicine (physical medicine & rehabilitation) physician provider located in Santa Maria, California. This profile covers 0 Medicare and 105 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Lags Spine And Sportscare Medical Centers Inc
Address	801 E Chapel St
City	Santa Maria
State	CA
ZIP	93454
Taxonomy	Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	September 7, 2005

Payer Source	Total Paid
Medicaid	$33.4M
Medicare	$0

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

105 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	250,430	$30	$6.5M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	46,320	$120	$5.5M
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…	73,520	$40	$3.2M
88356	After a lab analyst prepares slides, the qualified provider, typically a pathologist, performs a morphometric analysis to evaluate size, shape, and other physical features of a nerve.	13,100	$140	$1.8M
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	16,940	$80	$1.3M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	76,550	$20	$1.3M
88360	The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…	7,890	$150	$1.2M
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…	15,030	$70	$976.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	8,850	$90	$823.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	47,850	$20	$813.5K

Showing 1–10 of 105

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Lags Spine And Sportscare Medical Centers Inc — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

105 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	5	100	520	$120	$2.4M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	14	70	650	$70	$1.6M
88356	After a lab analyst prepares slides, the qualified provider, typically a pathologist, performs a morphometric analysis to evaluate size, shape, and other physical features of a nerve.	1	10	550	$140	$622.4K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	8	10	100	$1,610	$515.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	12	660	1,490	$30	$417.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,752	4,290	780	$140	$400.1K
88319	A qualified provider, typically a pathologist, performs a special stain, including interpretation and report, for enzyme constituents of a patient specimen, such as a biopsy, blood, or bone marrow.	1	10	3,980	$90	$360.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	139	340	970	$40	$343.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	124	830	880	$40	$195.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	627	1,950	500	$80	$179K

Showing 1–10 of 105

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers Of The Central Coast Inc	CA	Federally Qualified Health Center (FQHC)	$0	$49.6M
General Dentistry For Children: Dental Group Of Kleinsasser Dental Cor	CA	General Practice Dentistry	$0	$28.8M
Pediatric Medical Group Of Santa Maria Inc	CA	Pediatrics Physician	$0	$27.7M
Community Health Centers Of The Central Coast Inc	CA	Federally Qualified Health Center (FQHC)	$0	$23.3M
The Endoscopy Center Of Santa Maria LLC	CA	Ambulatory Surgical Clinic/Center	$2.3M	$7.4M
Cypress Ambulatory Surgery Center	CA	Ambulatory Surgical Clinic/Center	$1.3M	$3.9M
Pierre Labrecque	CA	Specialist	$226.8K	$3.2M
Premier Surgery Center Of Santa Maria LLC	CA	Ambulatory Surgical Clinic/Center	$1.9M	$476.7K
Dignity Health	CA	Home Infusion Therapy Pharmacy	$1.5M	$873K
Ragui Sedeek	CA	Retina Specialist (Ophthalmology) Physician	$1.4M	$0

Lags Spine And Sportscare Medical Centers Inc — Billing Profile & Reimbursement Data

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Lags Spine And Sportscare Medical Centers Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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