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

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

Lance Griffin (NPI 1700212198)

Field	Value
Entity Type	Individual
Organization	Lance Griffin
Address	1930 W Broadway St Ste A
City	Missoula
State	MT
ZIP	59808
Taxonomy	Physician Assistant
NPI Enumerated	September 18, 2013

Payer Source	Total Paid
Medicare	$24.9K
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
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…	120	$80	$10.3K
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…	40	$100	$4.3K
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…	90	$50	$4.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$120	$2.6K
76981	The provider carries out ultrasound elastography of an organ such as the liver to establish a baseline of the organ’s functional (nonconnective, nonstructural) tissue by measuring its return to…	30	$60	$1.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$30	$1.4K
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…	10	$40	$460

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. Montana Distribution

Lance Griffin — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	816	1,810	100	$70	$12.4K
99213	865	1,730	90	$50	$7.2K
99223	269	410	30	$130	$7K
99204	275	780	30	$100	$4.8K
99203	608	700	30	$70	$3.1K
99231	112	240	40	$40	$2.2K
76981	1	10	20	$60	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Clinic PC	MT	Multi-Specialty Clinic/Center	$0	$8.7M
Western Montana Clinic PC	MT	Clinical Medical Laboratory	$668.9K	$1.7M
Melody Nelsen	MT	Rheumatology Physician	$2M	$0
Rebecca Belsom	MT	Rheumatology Physician	$1.4M	$0
Ann Corsi	MT	Rheumatology Physician	$656.8K	$0
Kristen Townley	MT	MOHS-Micrographic Surgery Physician	$547.1K	$0
Erika Hagstrom	MT	Dermatology Physician	$511K	$0
Joshua Tennenbaum	TN	Anatomic Pathology & Clinical Pathology Physician	$508.9K	$0
Rebecca Danforth	MT	Rheumatology Physician	$396K	$0
James Maddux	MT	Interventional Cardiology Physician	$219.4K	$0

Lance Griffin — Billing Profile & Reimbursement Data

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Lance Griffin — 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