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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Lopez (NPI 1730143744)

Field	Value
Entity Type	Individual
Organization	Lauren Lopez
Address	975 Port Washington Rd
City	Grafton
State	WI
ZIP	53024
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicare	$28.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	150	$150	$22.5K
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…	60	$40	$2.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$60	$1.8K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$60	$1K
94002	Use this code for the initial setting of ventilator parameters for a patient who cannot breathe on his own. The service is performed for a hospital inpatient or observation patient, first day of…	10	$60	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Lauren Lopez — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	60	1,180	40	$160	$8.5K
99232	2,714	3,490	60	$60	$7.2K
99231	288	1,090	40	$40	$1.8K
99221	230	440	20	$60	$1.4K
94002	2	10	10	$60	$900

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Medical Center Grafton, LLC	WI	General Acute Care Hospital	$0	$7.3M
Sweet Smiles Grafton LLC	WI	General Practice Dentistry	$0	$4.4M
Alarus Healthcare, LLC	WI	Multi-Specialty Clinic/Center	$0	$2M
Meyer Music Therapy Services, Inc	WI	Music Therapist	$0	$1.2M
Julie Chicks	WI	Addiction Medicine (Internal Medicine) Physician	$6.8K	$301.5K
Ali Khan	WI	Interventional Cardiology Physician	$202.5K	$0
Justin Yoon	WI	Endocrinology, Diabetes & Metabolism Physician	$192.1K	$0
Thomas Vravick	WI	Internal Medicine Physician	$107.1K	$0
William Pao	WI	Radiation Oncology Physician	$100.3K	$0
Alexandra Carley	WI	Dermatology Physician	$99.9K	$0

Lauren Lopez — Billing Profile & Reimbursement Data

Sign up for Lauren Lopez — Billing Profile & Reimbursement Data policy alerts

Lauren Lopez — Billing Profile & Reimbursement Data

Sign up for Lauren Lopez — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References