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

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

Lawrence Pediatrics P.A. (NPI 1679853527)

Lawrence Pediatrics P.A. is a pediatrics physician provider located in Lawrence, Kansas. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Lawrence Pediatrics P.A.
Address	5710 Longleaf Dr
City	Lawrence
State	KS
ZIP	66049
Taxonomy	Pediatrics Physician
NPI Enumerated	August 24, 2011

Payer Source	Total Paid
Medicaid	$645.8K
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

24 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…	5,610	$40	$202K
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…	2,790	$60	$153.6K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	4,140	$30	$111.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,540	$20	$50.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	450	$70	$30.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	610	$40	$24.2K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	1,500	$10	$16.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	210	$70	$15.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	210	$70	$14.7K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	260	$40	$10.2K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kansas Distribution

Lawrence Pediatrics P.A. — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	154	1,050	560	$80	$266.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	96	160	470	$90	$163.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	74	180	300	$100	$141.8K
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…	172	880	400	$60	$136K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	88	190	180	$110	$94.2K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	18	100	390	$30	$78.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	70	190	290	$30	$44.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	55	320	290	$20	$28K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	15	50	350	$10	$25.1K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	13	30	110	$40	$22.9K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Specialty Anesthesia LLC	KS	Certified Registered Nurse Anesthetist	$0	$12.1M
Honey Bee Pdc Lawrence LLC	KS	Pediatric Dentistry	$0	$2.3M
Medexpress Urgent Care Kansas, P.A.	KS	Urgent Care Clinic/Center	$0	$1.6M
Star Living LLC	KS	Assisted Living Facility	$0	$842.6K
Lawrence Surgery Center LLC	KS	Ambulatory Surgical Clinic/Center	$741.4K	$19.8K
Lawrence Family Vision Clinic P A	KS	Optometrist	$0	$671.8K
Jd Sigler Company	KS	Pharmacy	$494.8K	$8K
Christopher Penn	KS	Infectious Disease Physician	$364.8K	$0
Lydia Neu	KS	Physical Therapist	$279.1K	$0
Richard Wendt	KS	Orthopaedic Surgery Physician	$274.5K	$0

Lawrence Pediatrics P.A. — Billing Profile & Reimbursement Data

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Lawrence Pediatrics P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References