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    OpenPayerNPI Medicare & MedicaidHarry Lazarte
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    Harry Lazarte — Billing Profile & Reimbursement Data

    NPI 1548486053 · Springdale, AR · Internal Medicine Physician

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    Harry Lazarte is a internal medicine physician provider located in Springdale, Arkansas. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHarry Lazarte
    Address7325 Meeshow Dr Ste G
    CitySpringdale
    StateAR
    ZIP72762
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 17, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$621.4K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single-payer: total Medicare revenue is $621.4K and there is no Medicaid billing on file. Revenue is highly concentrated — the precomputed top 3 Medicare codes account for 92.4% of this provider's total Medicare revenue — indicating the practice’s financial performance depends heavily on a narrow set of services.

    The CPT mix is strongly skewed toward home- and residence-based evaluation and management plus monthly chronic care management, driven by 99350, 99491, and 99349. 99350 alone accounts for $439.8K (70.7% of Medicare revenue) with a $135 avg paid/claim, 99491 contributes $82.6K (13.3%) with a $61 avg paid/claim, and 99349 contributes $52K (8.4%) with an $88 avg paid/claim, which together point to a business model centered on high-volume home visits and ongoing chronic condition management.

    99350 is a standout in national competitive standing: it ranks #10 of 7304 providers nationally (100th percentile) and is labeled an extreme outlier, so this provider is far above typical national volume for that high-intensity home visit code. 99491 also ranks highly at #24 of 1258 providers (98th percentile) and is labeled an extreme outlier, indicating the provider is a major national participant for billed chronic care management time.

    Other billed services are present but small relative to the top codes: 99345 ($15.9K, 2.6% of Medicare revenue) and 99344 ($3.8K, 0.6%) suggest occasional new-patient home visits, while transitional care 99496 ($7.5K, 1.2%) and annual wellness visits G0439 ($10.8K, 1.7%) appear at modest volumes. These secondary codes are generally at typical, unremarkable volumes in national rankings, reinforcing that the operation’s footprint is focused on established-patient home visits and monthly management.

    The provider’s tenure in the NPI file dates to 2007-04-17 (~19 years ago), indicating long-term enrollment which supports a sustained operational model rather than a recent entrant. Given the long enumeration and the concentrated, repeat-oriented service mix, the practice profile is consistent with an established, Medicare-focused home-based primary care or house call operation.

    From a payer and network strategy perspective, the absence of Medicaid billing paired with concentrated Medicare revenue suggests limited engagement with Medicaid populations or network contracts; analysts should treat this entity as effectively Medicare-centric when modeling payer mix or contracting leverage. The heavy dependence on a few codes (top 3 = 92.4%) also raises operational sensitivity to changes in reimbursement or audit focus on those specific services.

    Because 99350 and 99491 are both labeled extreme outlier usages nationally while many other codes are at typical volumes, this provider should be classified for competitive benchmarking as a specialized, high-volume home-visit and chronic-care manager rather than a generalist office-based internal medicine practice. Analysts comparing peers should prioritize home-visit and chronic-care metrics when assessing market share or growth potential for this entity.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…3,260$140$439.8K
    99491The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…1,350$60$82.6K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…590$90$52K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…120$140$15.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit90$120$10.8K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…40$200$7.5K
    99443N/A70$60$4.6K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…40$90$3.8K
    99205The 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…10$160$2.1K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…40$50$1.8K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9935013070$120$31.4K
    9934976080$80$16.3K
    9949112030$60$11.3K
    G04393341,06080$90$10.1K
    9920531845030$140$5.5K
    9934521020$140$5.1K
    99348305060$50$4.9K
    994961923020$160$4.5K
    9944357030$70$3.1K
    9934424020$80$2.6K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connie SpearsIDFamily Nurse Practitioner$219.3K$0
    John RudolphIDFamily Medicine Physician$193.1K$0
    Jason SchwintekIDInternal Medicine Physician$176.7K$0
    Alison WheatleyIDMedical Physician Assistant$121.2K$0
    Nathan WheatleyIDMedical Physician Assistant$111.9K$0
    Jonathan McneelyMTNephrology Physician$103.3K$0
    Michael MezaIDFamily Medicine Physician$103.1K$0
    John LoffarelliWAHospitalist Physician$69.2K$28K
    Benjamin KrasinIDInternal Medicine Physician$91.4K$0
    Lisa KaileyIDFamily Nurse Practitioner$88.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ozark Guidance Center, IncARCommunity/Behavioral Health Agency$0$74.5M
    Arkansas Childrens Northwest, Inc.ARChildren's Hospital$0$48M
    Arisa Health, Inc.ARCommunity/Behavioral Health Agency$0$14.9M
    Jarvis Pediatric Therapy, Inc.ARSpecialist$0$10.6M
    Wendy Cassady Speech Pathology, IncARSpeech-Language Pathologist$0$9.2M
    Preferred Family Healthcare IncARCommunity/Behavioral Health Agency$0$8.1M
    Kidscorp Of Fayetteville, IncARDevelopmental Disabilities Clinic/Center$0$6.9M
    University Of Arkansas For Medical SciencesARDevelopmental - Behavioral Pediatrics Physician$0$5.8M
    Northwest Physicians LLCARObstetrics Physician$0$5.8M
    Highlands Oncology Group PAARHematology & Oncology Physician$0$5.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arkansas Distribution
    Harry Lazarte — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas