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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Alicia Lax (NPI 1558457630)

Field	Value
Entity Type	Individual
Organization	Alicia Lax
Address	515 Plainfield Ave
City	Edison
State	NJ
ZIP	08817
Taxonomy	Clinical Social Worker
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicare	$10.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	670	$20	$10.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Alicia Lax — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90853	2	30	130	$20	$3.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care For U Plus,llc	NJ	Home Health Agency	$0	$84.4M
Coordinated Family Care	NJ	Case Management Agency	$0	$70.5M
Instacare Home Health Solutions LLC.	NJ	Home Health Agency	$0	$27.8M
Maxim Healthcare Services, Inc.	NJ	Home Health Agency	$0	$15.8M
Satyanarayan Healthcare, LLC	NJ	Adult Day Care Clinic/Center	$0	$15.3M
Georgiet Afriyie	NJ	Primary Care Nurse Practitioner	$2M	$0
Robert Schanzer	NJ	Cardiovascular Disease Physician	$748.5K	$0
Hitesh Patel	NJ	Ophthalmology Physician	$447K	$0
Robert Panebianco	NJ	Cardiovascular Disease Physician	$229.7K	$0
Aron Barsky	NJ	Cardiovascular Disease Physician	$194.4K	$16.9K

Alicia Lax — Billing Profile & Reimbursement Data

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Alicia Lax — 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