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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Jonathan Lena (NPI 1457512303)

Jonathan Lena is a neurological surgery physician provider located in Charleston, South Carolina. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Jonathan Lena
Address	171 Ashley Ave
City	Charleston
State	SC
ZIP	29425
Taxonomy	Neurological Surgery Physician
NPI Enumerated	June 23, 2008

Payer Source	Total Paid
Medicare	$90.2K
Medicaid	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
61624	The provider performs a transcatheter permanent occlusion or embolization procedure within the central nervous system, which includes the brain (intracranial) or spinal cord. Using imaging guidance,…	30	$820	$25.5K
36224	In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta and farther into the…	70	$260	$19.2K
61645	Using fluoroscopy, live X–rays displayed on a video monitor, the provider inserts a catheter percutaneously (through a small incision in the skin) into an intracranial artery, a branch of the carotid…	20	$620	$10.5K
36226	In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta and aortic arch. He…	60	$180	$10.2K
36223	In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta and farther into the…	30	$150	$4.9K
75898	As a follow–up study, the provider performs vessel imaging called angiography through the catheter that is already present in the vessel because of previous therapy, embolization, or infusion, other…	50	$70	$3.6K
36225	In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta, internal carotid…	20	$140	$3.1K
36228	In this add on procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting catheter in additional branches of the intracranial subdivisions of the…	20	$180	$3.1K
36227	In this add on procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting catheter in the external carotid artery in the same session as placing a…	30	$110	$2.7K
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…	50	$50	$2.4K

Showing 1–10 of 15

Jonathan Lena — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
61624	2	10	20	$840	$19.3K
61645	6	10	20	$610	$12.2K
36224	1	10	40	$270	$11.2K
99213	5,220	7,690	100	$60	$10.8K
36226	1	10	30	$190	$6.6K
36223	3	10	30	$200	$5K
99203	1,382	2,970	30	$70	$3.9K
36228	2	10	20	$180	$3.3K
36227	3	10	30	$110	$3.1K
36225	3	10	20	$130	$2.8K