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

Why is the Medicaid comparison limited to New York 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. New York (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.

Lance Wilkins (NPI 1467457671)

Field	Value
Entity Type	Individual
Organization	Lance Wilkins
Address	1450 Western Ave
City	Albany
State	NY
ZIP	12203
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 15, 2005

Payer Source	Total Paid
Medicare	$36.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	430	$50	$22K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	180	$50	$8.5K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	110	$50	$5.2K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	10	$60	$790

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Lance Wilkins — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00811	6	1,710	30	$90	$4.3K
00731	25	2,240	20	$100	$3.5K
00812	44	930	20	$100	$3.5K
00813	722	970	20	$110	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Kennedy	NY	Anesthesiology Physician	$94K	$320
Paul Chalmers	NY	Anesthesiology Physician	$51.3K	$0
Michael Kaplan	NY	Anesthesiology Physician	$50.4K	$0
Maninder Gujral	NY	Anesthesiology Physician	$49.9K	$0
Keith Franklin	NY	Anesthesiology Physician	$39.3K	$0
John Dinius	NY	Anesthesiology Physician	$38.7K	$0
Peter Andriakos	NY	Anesthesiology Physician	$38.1K	$0
Jacqueline Lozano	CT	Anesthesiology Physician	$33.8K	$0
Nimesh Desai	NY	Anesthesiology Physician	$29.9K	$0
Vaishali Bhavsar	NJ	Specialist	$29.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Federici	NY	Ophthalmology Physician	$2.8M	$70.5K
Shalom Kieval	NY	Ophthalmology Physician	$1.2M	$5.1K
Steven Altmayer	NY	MOHS-Micrographic Surgery Physician	$606.4K	$0
Dennis Kim	NY	MOHS-Micrographic Surgery Physician	$521K	$0
Michael Mulvaney	NY	MOHS-Micrographic Surgery Physician	$473.9K	$0
Aixa Toledo-garcia	NY	Rheumatology Physician	$383.1K	$16K
Dale Meyer	NY	Corneal and Contact Management Optometrist	$37.2K	$198.6K
Christopher Gabriels	NY	Ophthalmology Physician	$200K	$0
John Murphy	NY	Specialist	$149.6K	$0
Brian Murray	NY	Urology Physician	$106.2K	$0

Lance Wilkins — Billing Profile & Reimbursement Data

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Lance Wilkins — 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