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

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

Melissa Lilly (NPI 1639274921)

Field	Value
Entity Type	Individual
Organization	Melissa Lilly
Address	1880 Amherst St Ste 300
City	Winchester
State	VA
ZIP	22601
Taxonomy	Physician Assistant
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicare	$8.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
35301	The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision.	20	$150	$2.7K
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…	40	$60	$2.3K
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…	20	$80	$1.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$80	$950
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,…	10	$40	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Melissa Lilly — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,417	12,890	140	$80	$21K
35301	6	10	20	$810	$13.8K
99213	8,955	12,440	90	$60	$10K
99222	2,846	3,120	30	$100	$4.4K
99212	2,524	2,830	30	$40	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Shenandoah Memorial Hospital, Inc.	VA	Critical Access Hospital	$0	$23.5M
Warren Memorial Hospital, Inc.	VA	General Acute Care Hospital	$0	$23.5M
Page Memorial Hospital, Inc.	VA	Critical Access Hospital	$0	$14M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Winchester Medical Center	VA	Obstetrics & Gynecology Physician	$0	$10M
Randy Becker	MD	Diagnostic Radiology Physician	$462.3K	$0
James Sluss	VA	Diagnostic Radiology Physician	$364K	$90K
Alok Gopal	VA	Interventional Pain Medicine Physician	$370.9K	$0
Kumar Patel	SC	Neurology Physician	$302K	$0

Melissa Lilly — Billing Profile & Reimbursement Data

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Melissa Lilly — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References