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

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

Helen Ly (NPI 1487882627)

Field	Value
Entity Type	Individual
Organization	Helen Ly
Address	529 N Highland St
City	Memphis
State	TN
ZIP	38122
Taxonomy	Neurology Physician
NPI Enumerated	June 25, 2009

Payer Source	Total Paid
Medicare	$25.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	90	$90	$7.6K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	120	$40	$4.9K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	280	$20	$4.7K
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…	40	$110	$4.1K
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…	60	$60	$3.7K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	10	$60	$770
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	$1	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Helen Ly — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,672	11,370	120	$80	$16.6K
99213	6,181	11,030	80	$50	$8K
97140	667	1,510	230	$20	$6.2K
99204	2,460	5,490	30	$100	$5.3K
96116	29	30	50	$60	$3.9K
20553	2	80	40	$40	$1.5K
J3301	656	1,100	140	$1	$310

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital-desoto, Inc,	MS	General Acute Care Hospital	$0	$41.6M
Shiva Natarajan	TN	Neurology Physician	$611.7K	$507.8K
Todd Edwards	TN	Cardiovascular Disease Physician	$837.5K	$0
Dharmesh Patel	MS	Cardiovascular Disease Physician	$612.5K	$0
Arie Szatkowski	TN	Cardiovascular Disease Physician	$514.2K	$0
Jimmy Sneed	MS	Interventional Cardiology Physician	$351.1K	$0
Amit Malhotra	MS	Interventional Cardiology Physician	$351K	$0
Gilbert Zoghbi	TN	Interventional Cardiology Physician	$266.5K	$0
Magdi Wassef	MS	Internal Medicine Physician	$264.1K	$0
Eric Tiner	TN	Diagnostic Radiology Physician	$241.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stepping Stones Aba	TN	Behavior Analyst	$0	$2.6M
A&d Healthcare LLC	TN	Durable Medical Equipment & Medical Supplies	$0	$2.2M
Amy Ly	TN	Neurology Physician	$32.3K	$0
Amber Busche	TN	Optometrist	$28.6K	$0

Helen Ly — Billing Profile & Reimbursement Data

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Helen Ly — 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