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

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

Susan Lawton (NPI 1659390110)

Field	Value
Entity Type	Individual
Organization	Susan Lawton
Address	1900 State St
City	Santa Barbara
State	CA
ZIP	93101
Taxonomy	Family Medicine Physician
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$121.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	1,740	$20	$29.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	190	$140	$25.8K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	60	$280	$17.4K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	190	$70	$13.8K
G0008	Administration of influenza virus vaccine	220	$30	$7.4K
90739	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the…	30	$150	$5K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	120	$40	$4.8K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$170	$3.4K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	300	$10	$2.7K
0134A	N/A	50	$40	$2.1K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Susan Lawton — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	712	1,030	3,060	$20	$91.4K
99490	695	1,060	210	$50	$25.8K
11721	1,148	1,170	240	$40	$15.9K
87635	778	940	30	$50	$12.9K
G0439	968	7,800	60	$130	$11.9K
90677	378	4,400	20	$280	$8.8K
83036	191	1,940	50	$10	$7.6K
G0438	622	1,400	20	$160	$5K
90662	216	5,080	40	$70	$4.3K
90739	1	10	20	$150	$3.5K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mendocino Community Health Clinic, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$75.9M
Mendocino Community Health Clinic, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$23.7M
Julie Chacko	CA	Urology Physician	$361K	$0
William Bowen	CA	Specialist	$192.9K	$0
Amy Tolbert	CO	Diagnostic Radiology Physician	$149.1K	$0
Christopher Nusser	CO	Diagnostic Radiology Physician	$102K	$0
Roger Nichols	CO	Diagnostic Radiology Physician	$94.9K	$0
Markus Wu	CO	Diagnostic Radiology Physician	$75.1K	$0
Francisco La Rosa	CO	Anatomic Pathology & Clinical Pathology Physician	$62.1K	$0
Ronald Mchose	TX	Family Medicine Physician	$61.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Birch	CA	Orthopaedic Surgery Physician	$818K	$0
George Llewellyn	CA	Dermatology Physician	$703.2K	$0
Benjamin Dirkx	CA	Physical Medicine & Rehabilitation Physician	$557.6K	$0
Eli Kupperman	CA	Orthopaedic Surgery Physician	$376.4K	$0
Michael Kenly	CA	Physical Medicine & Rehabilitation Physician	$366.8K	$0
Toni Meyers	CA	Ophthalmology Physician	$338.7K	$0
Asher Kupperman	CA	Surgery of the Hand (Surgery) Physician	$325.4K	$0
Adam Catevenis	CA	Physician Assistant	$316.5K	$0
Jonathan Matzkin-bridger	CA	Podiatrist	$306.7K	$7.3K
Amy Wickman	CA	Orthopaedic Surgery Physician	$287.7K	$0

Susan Lawton — Billing Profile & Reimbursement Data

Sign up for Susan Lawton — Billing Profile & Reimbursement Data policy alerts

Susan Lawton — Billing Profile & Reimbursement Data

Sign up for Susan Lawton — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References