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

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

Jose Lima (NPI 1578784518)

Field	Value
Entity Type	Individual
Organization	Jose Lima
Address	3972 Village Center Dr
City	Hoover
State	AL
ZIP	35226
Taxonomy	Clinical Pathology/Laboratory Medicine Physician
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicare	$28.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	690	$10	$8.3K
86334	The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.	610	$10	$7.9K
36512	Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…	40	$70	$3.1K
36514	Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…	50	$60	$2.7K
86077	The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…	60	$40	$2.1K
84166	The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.	140	$10	$1.9K
86335	The lab analyst performs immunofixation electrophoresis to evaluate fluids other than serum, such as the patient’s urine or cerebrospinal fluid, to diagnose and or monitor monoclonal gammopathies or…	140	$10	$1.8K
85390	A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation.	30	$30	$650
80503	At the request of a physician or other qualified healthcare provider, the pathologist performs a consultation for a clinical problem requiring straightforward medical judgment to help clarify…	20	$20	$340
85576	The lab analyst performs a test to evaluate clumping, or aggregation, of platelets following the addition of an agent to the blood specimen.	10	$10	$170

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Jose Lima — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86334	7	40	40	$20	$9.1K
84165	10	50	150	$10	$7.5K
86335	7	10	140	$20	$4.5K
84166	6	20	80	$20	$3.4K
36512	1	10	30	$70	$2.2K
36514	1	10	30	$60	$2.1K
86077	4	10	40	$40	$1.5K
85390	4	10	30	$20	$740
85576	2	10	20	$20	$510
80503	4	10	20	$20	$360

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohamed Hassan	AL	Internal Medicine Physician	$264.3K	$0
Katherine Hunt	AL	Dermatology Physician	$116.1K	$0
James Blanton	AL	Internal Medicine Physician	$78.6K	$23.6K
Michael Stallworth	AL	Physical Therapist	$36.1K	$0
Madhav Devani	AL	Hospitalist Physician	$31K	$0

Jose Lima — Billing Profile & Reimbursement Data

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Jose Lima — 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