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.

Nataniel Lester-coll (NPI 1467727685)

Field	Value
Entity Type	Individual
Organization	Nataniel Lester-coll
Address	111 Colchester Ave
City	Burlington
State	VT
ZIP	05401
Taxonomy	Radiation Oncology Physician
NPI Enumerated	March 21, 2012

Payer Source	Total Paid
Medicare	$152.8K
Medicaid	$0

Key Findings

NATANIEL LESTER-COLL is a Radiation Oncology Physician based in BURLINGTON, VT with an NPI enumerated on 2012-03-21 (~14 years ago). His lifetime Medicare revenue on file is $152.8K and there is no Medicaid billing on file, making his public payer footprint effectively single-payer Medicare at this time.

Revenue is concentrated in a small set of radiotherapy services: the top three Medicare codes (77014, 77427, 77301) together account for 51.0% of the provider's total Medicare revenue. Individually those codes generated $32.8K (77014, 21.4%), $29.2K (77427, 19.1%), and $16K (77301, 10.5%), showing that roughly half of revenue flows from simulation/positioning, external beam radiation delivery, and IMRT planning.

The code mix is consistent with a radiation oncology practice that combines high-volume simulation/positioning (77014) and treatment delivery (77427) with advanced planning services (77301 and 77338). Additional entries such as 77435 (stereotactic course management, $9.6K, 6.3%) and device/planning codes like 77334 and 77338 indicate the practice performs both routine external-beam therapy and more complex planning/MLC work.

Payer mix is highly skewed toward Medicare: $152.8K in Medicare revenue versus no Medicaid revenue on file. That single-payer profile suggests the provider’s publicly reported activity and any payer-negotiation footprint will center on Medicare-valued radiotherapy services rather than dual-state Medicaid business.

Across his top Medicare codes the provider ranks in mid-to-upper national percentiles but is not a dominant national outlier: 77014 ranks #830 of 4303 providers (81th percentile) and is described as "typical, unremarkable volume for this code," 77427 ranks #1661 of 4720 (64th percentile, typical, unremarkable volume), and 77301 ranks #1210 of 3815 (67th percentile, typical, unremarkable volume). Even the relatively high-ranked E/M code 99205 (rank #7066 of 66257, 89th percentile) is characterized as typical, unremarkable volume, so the profile reflects a modest but consistent participant rather than a regional or national market leader.

Average paid amounts highlight a mix of lower-paid high-volume services and higher-paid complex planning: 77014 averages $35 paid/claim, 77427 averages $146 paid/claim, and 77301 averages $327 paid/claim. E/M activity contributes modestly to revenue (99205 produced $9.4K, 6.1% of Medicare revenue) while established visit codes (99213/99214/99215) together represent smaller portions, confirming treatment and planning are the primary revenue drivers rather than office visits.

There are no statistical red flags among the top codes—most are labeled "typical, unremarkable volume for this code," and a few specialized procedures fall below median national activity (for example, 77295 at the 24th percentile and 77470 at the 21th percentile). This pattern indicates a conventional radiation oncology service mix with occasional lower-frequency use of certain specialized techniques rather than anomalous billing concentrations.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77014	N/A	940	$40	$32.8K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	200	$150	$29.2K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	50	$330	$16K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	80	$130	$9.9K
77435	In this procedure, the provider manages the complete course of stereotactic body radiotherapy treatment in which he uses a three–dimensional coordinate system to locate small targets or lesions…	20	$480	$9.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	70	$130	$9.4K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	50	$180	$8.8K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	160	$50	$7.6K
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…	130	$40	$5.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$110	$4.4K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Nataniel Lester-coll — 0 of 18 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

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77427	5	10	170	$150	$22.3K
77014	2	10	330	$30	$15.1K
77301	2	10	30	$320	$11K
99214	587	960	90	$70	$10.6K
77435	1	10	20	$480	$7.6K
77263	3	10	60	$130	$7.4K
99215	196	410	40	$110	$7.2K
77334	5	10	150	$50	$6.9K
99213	307	910	80	$50	$6.7K
77338	3	10	30	$180	$6.2K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nataniel Lester-coll, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Champlain Valley Physicians Hospital Medical Center	NY	General Acute Care Hospital	$0	$35.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Alice Hyde Medical Center	NY	General Practice Physician	$0	$22.4M
University Of Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$17.6M
Northeastern Vermont Regional Hospital, Inc	VT	Primary Care Clinic/Center	$0	$2.8M
James Stafford	TX	Radiation Oncology Physician	$1.5M	$0
Adam Moskowitz	NY	Gastroenterology Physician	$547K	$309K
University Of Vermont Medical Center Inc	VT	General Acute Care Hospital	$0	$780.5K
Paul Unger	VT	Hematology & Oncology Physician	$744.6K	$0
University Of Vermont Health Network Specialty Care Transport, LLC	VT	Land Ambulance	$144K	$510.7K

Nearby Providers

Other providers in the same ZIP code as Nataniel Lester-coll, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Developmentally Disabled Services Day Training Agency	$0	$332.2M
Howard Center Inc	VT	Adolescent and Children Mental Health Clinic/Center	$0	$130.1M
Vermont Department Of Mental Health	VT	Adult Mental Health Clinic/Center	$0	$105.1M
Community Health Centers Of Burlington Inc	VT	Federally Qualified Health Center (FQHC)	$0	$39.8M
Howard Center Inc	VT	Methadone Clinic	$517.9K	$35M
Howard Center Inc	VT	State or Local Public Health Clinic/Center	$0	$23.4M
Transition Ii	VT	Case Manager/Care Coordinator	$0	$17.3M
The Dental Center At Community Health Center Of Burlington	VT	Dental Clinic/Center	$0	$6.7M
City Of Burlington Vermont	VT	Land Ambulance	$677.2K	$4.3M
Spectrum, Inc.	VT	Addiction (Substance Use Disorder) Counselor	$0	$2.4M

Nataniel Lester-coll — 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