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

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

Thomas Lalor (NPI 1659719979)

Field	Value
Entity Type	Individual
Organization	Thomas Lalor
Address	10988 Splendor Loop
City	Eagle River
State	AK
ZIP	99577
Taxonomy	Nurse Practitioner
NPI Enumerated	June 8, 2013

Payer Source	Total Paid
Medicare	$17.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	80	$70	$5.5K
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…	20	$140	$2.9K
36821	The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis…	30	$90	$2.4K
99203	The provider sees a new 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 provider…	30	$80	$2.4K
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…	20	$100	$2.2K
36832	In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein often located in the upper arm or…	20	$100	$1.7K
49324	The provider examines the inside of the abdomen through a laparoscope, a tubular instrument with a light source and a camera. He places a catheter, a flexible tube, into the membrane lined portion of…	10	$50	$760

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

Thomas Lalor — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,050	1,210	90	$100	$16.2K
36821	1	10	20	$470	$9.5K
99213	606	1,290	70	$70	$8.5K
99204	302	460	30	$140	$6.1K
36832	1	10	20	$360	$5.8K
49324	2	10	20	$270	$5.3K
99203	254	430	40	$90	$4.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benjamin Makamson	AL	Vascular Surgery Physician	$441.7K	$0
Dean Lurie	MD	Surgery Physician	$325.4K	$0
April Rodriguez	AK	Vascular Surgery Physician	$157.4K	$0
Jon Grace	AK	Critical Care Medicine (Internal Medicine) Physician	$142.6K	$0
Zachary Steiner	AK	Surgery Physician	$130K	$0
Julian Rojas	AK	Critical Care Medicine (Internal Medicine) Physician	$122.8K	$0
Jonathan Barnes	AK	Vascular Surgery Physician	$114.7K	$0
Priya Patel	AK	Vascular Surgery Physician	$104.6K	$0
Charles Portera	AK	Surgical Oncology Physician	$94.2K	$0
Robert Artwohl	AK	Surgery Physician	$84.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Playful Learning Pediatric Therapy, LLC	AK	Pediatric Occupational Therapist	$0	$15.8M
All For Kids Pediatric Therapy Clinic	AK	Pediatric Occupational Therapist	$0	$11M
Family Outreach Center For Understanding Special Needs Inc	AK	Social Worker	$0	$10.5M
Orion Behavioral Health Network LLC	AK	Developmental - Behavioral Pediatrics Physician	$0	$2.5M
Select Physical Therapy Holdings Inc	AK	Physical Therapy Clinic/Center	$0	$1.6M
Vision Therapy Center Inc.	AK	Vision Therapy Optometrist	$0	$1.6M
Behavior Matters LLC	AK	Behavior Analyst	$0	$1.5M
Alaska Pediatric Night Clinic, Inc.	AK	Pediatrics Physician	$0	$1.3M
Dennis Walker	AK	Case Manager/Care Coordinator	$0	$1.1M
Jeanne Moore-kettell	AK	Case Manager/Care Coordinator	$0	$1.1M

Thomas Lalor — Billing Profile & Reimbursement Data

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Thomas Lalor — 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

Nearby Providers

Frequently Asked Questions

References