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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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 Mcadams (NPI 1497089205)

Field	Value
Entity Type	Individual
Organization	Lance Mcadams
Address	Unit 2022
City	Apo
State	AP (Armed Forces Pacific)
ZIP	96264
Taxonomy	Family Medicine Physician
NPI Enumerated	September 25, 2009

Payer Source	Total Paid
Medicare	$3K
Medicaid	$0

Key Findings

This provider’s payer mix is effectively single-payer Medicare: Total Medicare revenue is $3K while Total Medicaid revenue is none (no Medicaid billing on file). There is no Medicaid activity to evaluate, so any Medicaid-focused network value or risk cannot be assessed from on-file claims.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue. Specifically, 99285 represents 67.7% of Medicare revenue and 99284 represents 32.3%, indicating virtually all billed Medicare dollars come from these emergency‑department E/M codes.

The top-revenue codes are 99285 and 99284, both emergency department E/M services; this code mix suggests the provider’s Medicare activity is episodic, ED-style evaluation-and-management encounters rather than routine longitudinal primary care. Average paid/claim levels ($134 for 99285 and $87 for 99284) and the limited claim counts align with a practice pattern focused on discrete ED visits.

Competitive standing on these codes is modest to minimal nationally: 99285 ranks #58110 of 61347 providers nationally (4th percentile; typical, unremarkable volume for this code) and 99284 ranks #63356 of 64306 providers nationally (0th percentile; typical, unremarkable volume for this code). These low percentiles indicate the provider is not a dominant or high-volume national participant for either ED E/M code.

The absolute scale and volume are small: 15 claims for 99285 and 11 claims for 99284 produced the entire $3K Medicare revenue picture. This low claim count and low aggregate revenue imply a minor Medicare footprint that will be low-impact for payers evaluating provider panel capacity or spend.

Tenure: the NPI was enumerated 2009-09-25 (~17 years ago), so the provider has been on file for an extended period. Despite long enumeration, the current Medicare billing profile remains concentrated and low-volume, which could reflect limited Medicare-facing activity or episodic engagement with Medicare beneficiaries.

From a contracting or network-planning perspective, the absence of Medicaid billing and the narrow, ED-focused Medicare revenue mix suggest limited strategic value for Medicaid-heavy networks and only targeted value for Medicare networks seeking isolated ED E/M capacity. Payors should treat this provider as a low-volume, ED-oriented Medicare participant rather than a broad primary-care or high-throughput ED provider.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20	$130	$2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	$90	$960

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Lance Mcadams — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	10	10	40	$150	$15.7K
99284	9	10	50	$100	$7.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Of Devils Lake	ND	Critical Access Hospital	$0	$11.1M
Taos Picuris Health Center	NM	Clinic/Center	$0	$6.6M
Mercy Hospital Of Devils Lake	ND	Emergency Medicine Physician	$0	$1.6M
Holy Rosary Healthcare	MT	Critical Access Hospital	$0	$564.7K
Michael Groover	MT	Adult Reconstructive Orthopaedic Surgery Physician	$370.4K	$0
Varghese Parambi	MT	Nephrology Physician	$243.5K	$0
Attila Dalmi	ND	Internal Medicine Physician	$165.2K	$0
Jeffrey Gilroy	CO	Radiation Oncology Physician	$155K	$0
Benjamin Fischer-valuck	IL	Radiation Oncology Physician	$153.2K	$0
Michael Yorgason	MT	Orthopaedic Foot and Ankle Surgery Physician	$120.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxwell Simard	—	Family Medicine Physician	$13.2K	$0
Nicolette Ingel	AP (Armed Forces Pacific)	Physical Therapist	$2.1K	$4.9K

Lance Mcadams — Billing Profile & Reimbursement Data

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Lance Mcadams — 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