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

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

Robert Lehr (NPI 1619901634)

Field	Value
Entity Type	Individual
Organization	Robert Lehr
Address	2743 Nw Expressway
City	Oklahoma City
State	OK
ZIP	73112
Taxonomy	Specialist
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

This provider’s commercial footprint is effectively single‑payer: total Medicare revenue is $1.2M while there is no Medicaid billing on file, so payer mix is dominated by Medicare and the practice does not appear to participate in state Medicaid billing. The NPI was enumerated 2006-07-10 (~20 years ago), indicating long tenure in the Medicare program that could support an established referral base and billing patterns.

Revenue is highly concentrated in a single Medicare therapy: J3245 accounts for $858K and 73.6% of the provider’s Medicare revenue, and the precomputed top‑3 Medicare codes together account for 79.5% of total Medicare revenue. That degree of concentration means changes to reimbursement, utilization, or access for that drug could materially affect the provider’s Medicare revenue.

The code mix points to a dermatology practice that combines in‑office biologic drug administration with surgical dermatology procedures. High‑revenue J3245 (tildrakizumab injection) plus procedure codes for lesion destruction and biopsies (for example 17110, 17000, 11102) indicate the clinic performs both ongoing medical management with biologics and frequent procedural work on skin lesions.

Operationally, the J3245 volume is substantial: 7.8K claims at $110 avg paid/claim generating $858K, which implies routine, repeated administration and likely in‑office drug handling and scheduling workflows to support frequent injections. This high claim count for a single HCPCS code suggests established processes for drug procurement, storage, and administration.

Competitive standing varies by code: the provider ranks #27 of 225 nationally for J3245 (88th percentile) — a notable national position for this specific biologic even though the source characterizes it as typical/unremarkable for that code — while E&M and some procedural codes show above‑typical volume. For example, 99213 ranks #13883 of 457151 providers (97th percentile; notably above typical national volume) and 17110 ranks #1081 of 19650 providers (94th percentile; notably above typical national volume), indicating stronger‑than‑average Medicare visit and lesion‑destruction activity relative to peers.

There are clear statistical outliers among billed codes: 99212 ranks in the 99th percentile and is labeled an extreme outlier (484 claims, $33 avg paid/claim, $16K revenue), and 17261 also sits at the 99th percentile and is described as an extreme outlier (157 claims, $77 avg paid/claim, $12.1K revenue). These extreme outlier labels identify specific service lines where this provider bills far more than typical peers and merit closer review for capacity or specialization insights.

New‑patient and higher‑complexity visits are also above typical peer levels: 99204 (191 claims, $105 avg paid/claim, $20.1K revenue) ranks #5497 of 227068 providers (98th percentile; notably above typical national volume) and 99202 ranks in the 97th percentile (116 claims, $40 avg paid/claim, $4.6K revenue). This pattern supports the view that the practice handles a meaningful volume of both new and established patient care in Medicare, not just procedure‑driven encounters.

From a payer and network strategy perspective, the provider’s heavy reliance on a single high‑revenue biologic and Medicare as the sole documented payer suggests monitoring for reimbursement or utilization policy changes that affect J3245. Given the long enumeration date (2006-07-10, ~20 years ago) and the concentrated revenue profile (top 3 codes = 79.5%), payers and contracting analysts should track J3245 policy, prior authorization trends, and E&M volumes to understand near‑term revenue exposure and negotiation leverage.

Medicare: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3245	Injection, tildrakizumab, 1 mg	7,800	$110	$858K
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…	710	$60	$41.1K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	440	$60	$27.4K
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…	320	$80	$25K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	740	$30	$23.7K
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…	190	$110	$20.1K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	160	$120	$18.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	480	$30	$16K
17281	The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…	130	$110	$13.7K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	2,680	$10	$13.4K

Showing 1–10 of 42

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Robert Lehr — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

42 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3245	1	10	7,700	$110	$843.6K
99214	1,453	5,560	130	$70	$18.4K
17110	26	180	150	$70	$14.1K
11102	64	150	190	$50	$11.4K
17000	30	230	140	$30	$9.9K
99213	178	5,450	80	$50	$8.7K
12032	31	70	30	$180	$8.3K
17004	11	100	40	$100	$7.9K
99204	85	2,790	40	$100	$5.8K
96900	1	10	330	$20	$5.1K

Showing 1–10 of 42

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Falter	OK	Procedural Dermatology Physician	$85.6K	$0
Michael Mcmahan	OK	Family Medicine Physician	$73.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integris Baptist Medical Center Inc	OK	General Acute Care Hospital	$0	$30.7M
Variety Care, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$14.3M
Smiling Faces Pediatric Dentistry Inc	OK	General Practice Dentistry	$0	$14M
Pediatrix Medical Group Of Oklahoma, P.C.	OK	Neonatal-Perinatal Medicine Physician	$0	$11.2M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$9.7M
North Oklahoma County Mental Health Center	OK	Mental Health Counselor	$0	$6.3M
Concepts In Counseling, LLC	OK	Community/Behavioral Health Agency	$0	$5.8M
Oklahoma Emergency Physicians LLC	OK	Emergency Medicine Physician	$0	$5.2M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$4.8M
Your Key To Change, LLC	OK	Community/Behavioral Health Agency	$0	$4.8M

Robert Lehr — 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