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

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

Lauren Gearhart (NPI 1720069529)

Field	Value
Entity Type	Individual
Organization	Lauren Gearhart
Address	16463 Boones Ferry Rd
City	Lake Oswego
State	OR
ZIP	97035
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 9, 2005

Payer Source	Total Paid
Medicare	$24.7K
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
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…	140	$80	$11.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$130	$7.3K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	60	$60	$3.4K
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…	30	$40	$1.3K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	30	$30	$650
G0442	Annual alcohol misuse screening, 5 to 15 minutes	10	$20	$210
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$140

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. Oregon Distribution

Lauren Gearhart — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,946	6,070	80	$70	$10.3K
G0439	397	1,110	40	$90	$5.9K
99213	3,917	5,480	60	$50	$5.7K
99497	53	200	30	$60	$3.4K
36415	876	1,030	60	$10	$2.5K
G0446	10	10	40	$30	$1.5K
G0442	135	140	40	$20	$950

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sleep Metric Systems, Inc	OR	Durable Medical Equipment & Medical Supplies	$2.3K	$3.6M
Psych Nw, PC	OR	Psychologist	$0	$3.5M
Linda C Estergard, Phd, Lcsw, PC	OR	Clinical Psychologist	$0	$2.2M
National Seating & Mobility, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Sapphire Blue Behavioral Health Solutions	OR	Mental Health Counselor	$0	$1.3M
Betty Jiang	OR	Dermatology Physician	$250.1K	$0
Nisha Nagarkatti-gude	OR	Ophthalmology Physician	$174.5K	$0
Andrew Pitt	OR	Dermatology Physician	$148K	$0
Hyeongyu Kim	OR	Nurse Practitioner	$130.9K	$0
Jacqueline Ng	OR	Ophthalmology Physician	$128.6K	$0

Lauren Gearhart — Billing Profile & Reimbursement Data

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Lauren Gearhart — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References