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    OpenPayerNPI Medicare & MedicaidNicholas Lailas
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    Nicholas Lailas — Billing Profile & Reimbursement Data

    NPI 1750376539 · Reston, VA · Urology Physician

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    Nicholas Lailas is a urology physician provider located in Reston, Virginia. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicholas Lailas
    Address1860 Town Center Drive, Suite 150
    CityReston
    StateVA
    ZIP20190
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 16, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$119.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…440$70$28.5K
    99214The 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…170$100$16.3K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…310$50$14.3K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…10$1,000$12K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…50$210$11K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…110$50$5.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$150$4.6K
    99204The 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$130$4.5K
    51990In this procedure, the provider surgically suspends the urethra by placing several sutures and stitching with the urethra to surrounding tissue. He performs this procedure with a laparoscope, a thin…10$320$3.5K
    38571The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…10$280$3.4K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,72012,890140$80$21K
    5200015222080$170$16K
    99490280510130$50$15.5K
    5586691010$910$14.6K
    992324,1084,46080$60$11K
    5570010212020$260$10.3K
    992131,06712,44090$60$10K
    992152,2864,03040$120$9.5K
    5199021020$310$6.4K
    992043,4416,85040$110$5.9K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Loudoun Medical Group, PCVAInternal Medicine Physician$0$12.4M
    Alex PavidaphaVAVascular & Interventional Radiology Physician$3.5M$0
    Rachel PiechowiakVAVascular & Interventional Radiology Physician$2.4M$0
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Kyrollos TawfikMDVascular & Interventional Radiology Physician$1.1M$0
    Richard KimVAInternal Medicine Physician$983K$0
    Ayman BoutrosVAOphthalmology Physician$964.5K$0
    Aizenhawar MarrogiVAAnatomic Pathology & Clinical Pathology Physician$756.9K$0
    Marena PatronasVAOphthalmology Physician$744.9K$0
    Gavin GoreVADiagnostic Radiology Physician$608.4K$240

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reston Hospital Center LLCVAGeneral Acute Care Hospital$0$14.9M
    Phong NguyenVARheumatology Physician$4.2M$0
    Reston Surgery Center, LPVAAmbulatory Surgical Clinic/Center$2.8M$869.2K
    Claude Abujrab-sabaVARheumatology Physician$2.9M$0
    Alexia GospodinoffVARheumatology Physician$812.5K$0
    Dhruv PatederVAOrthopaedic Surgery of the Spine Physician$607.7K$0
    Ahmad NooriVANephrology Physician$341.1K$190.1K
    Mark TekronyVANeurology Physician$349.6K$0
    Theodore SebastienVAMOHS-Micrographic Surgery Physician$335.3K$0
    Andrew SiegelVAOphthalmology Physician$333.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Nicholas Lailas — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia