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

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

Stephen Lipsky (NPI 1477550895)

Field	Value
Entity Type	Individual
Organization	Stephen Lipsky
Address	5185 Peachtree Pkwy Ste 350
City	Peachtree Corners
State	GA
ZIP	30092
Taxonomy	Pediatric Ophthalmology and Strabismus Specialist Physician Physician
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicare	$9.7K
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
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	110	$40	$5K
99204	The provider sees a new 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 provider…	20	$110	$2.1K
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…	20	$70	$1.4K
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…	20	$80	$1.2K

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. Georgia Distribution

Stephen Lipsky — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12,999	13,640	120	$80	$17.8K
99204	5,398	7,260	30	$110	$5.1K
92060	5	20	30	$40	$4K
99203	3,604	5,350	30	$70	$3.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatria Healthcare LLC	GA	Nursing Care Agency	$0	$11.1M
La Clinica Del Nino PC	GA	Pediatrics Physician	$0	$7.7M
Advanced Medical Diagnostics Of Texas, LLC	GA	Clinical Medical Laboratory	$2.9M	$1.4K
Oxy-gen Laboratory LLC	GA	Clinical Medical Laboratory	$77.4K	$1.1M
Alpha Genomix Laboratories Inc	GA	Clinical Medical Laboratory	$0	$1.1M
Rishi Singhal	GA	Retina Specialist (Ophthalmology) Physician	$668.8K	$0
Sam Daliri	GA	General Practice Dentistry	$0	$648.5K
Galina Vayner	GA	Internal Medicine Physician	$477.3K	$0
Atlas Ambulance Inc	GA	Land Ambulance	$458.1K	$0
Kendra Cole	GA	Specialist	$236.1K	$0

Stephen Lipsky — Billing Profile & Reimbursement Data

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Stephen Lipsky — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References