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NPI 1710369798 · Springfield, MA · Internal Medicine Physician
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Alexander Ly is a internal medicine physician provider located in Springfield, Massachusetts. This profile covers 4 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Alexander Ly |
| Address | 759 Chestnut St |
| City | Springfield |
| State | MA |
| ZIP | 01199 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 25, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $34.7K |
| Medicaid | $1.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 230 | $130 | $29.5K |
| 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… | 50 | $90 | $4.5K |
| 76937 | The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures. | 40 | $10 | $390 |
| 36410 | In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older. | 40 | $10 | $250 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 10 | $130 | $1.5K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 261 | 280 | 110 | $80 | $100.6K |
Other providers in the same ZIP code as Alexander Ly, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Baystate Medical Center Inc | MA | General Acute Care Hospital | $0 | $374.8M |
| Baystate Medical Practices, Inc | MA | Emergency Medical Services (Emergency Medicine) Physician | $0 | $60.5M |
| Baystate Medical Center Inc | MA | Clinical Medical Laboratory | $0 | $40.6M |
| Geoffrey Sakellis | MA | Diagnostic Radiology Physician | $750.9K | $0 |
| Kathleen Kerrigan | MA | Emergency Medicine Physician | $171.3K | $80.5K |
| Sohail Waien | MA | Hospitalist Physician | $231K | $0 |
| James Mueller | MA | Anatomic Pathology & Clinical Pathology Physician | $72.4K | $104.4K |
| Aimen Kasasbeh | MA | Diagnostic Radiology Physician | $97.2K | $73.2K |
| Varun Naragum | MA | Neuroradiology Physician | $114.7K | $0 |
| Peters Okonoboh | MA | Critical Care Medicine (Internal Medicine) Physician | $113.4K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.