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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Lisa Mcmahon (NPI 1770605313)

Field	Value
Entity Type	Individual
Organization	Lisa Mcmahon
Address	3227 Estate Golden Rock
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Specialist
NPI Enumerated	April 4, 2007

Payer Source	Total Paid
Medicare	$18.1K
Medicaid	$0

Key Findings

This provider’s Medicare activity is very small in absolute scale: total Medicare revenue on file is $18.1K and there is no Medicaid billing on file, so the record represents an effectively single‑payer Medicare billing profile rather than a mixed Medicaid/Medicare practice. Analysts should treat Medicaid-related comparisons or in‑state payer dynamics as not applicable for this provider.

Revenue is heavily concentrated in three codes: 99215 ($8.4K, 46.5%), 99443 ($4.4K, 24.4%), and 99442 ($3.3K, 18.3%) — together these three codes account for 89.2% of the provider’s total Medicare revenue. This concentration implies that a small set of services drives nearly all billed Medicare dollars and that shifts in utilization or reimbursement for any one of these codes would materially change the provider’s Medicare revenue.

The code mix suggests a practice centered on higher‑complexity outpatient evaluation and management visits, with 99215 described as a high level E/M visit (high medical decision making or 40+ minutes). Two of the top three revenue drivers (99443 and 99442) are listed with no description in the provided file, so while they materially contribute to revenue their service type cannot be fully characterized from this dataset alone.

Competitive standing varies by code: for 99215 the provider ranks #38726 of 145531 providers nationally (73th percentile; typical, unremarkable volume for this code), indicating a modest, broadly typical presence on that high‑complexity E/M service. By contrast 99443 ranks #2315 of 14283 providers nationally (84th percentile; typical, unremarkable volume) and 99442 ranks #3799 of 21242 providers nationally (82th percentile; typical, unremarkable volume), meaning the provider is relatively stronger on those two non‑described codes compared with peers.

Claim counts and average paid per claim confirm a largely outpatient encounter pattern: 99215 has 78 claims at $108 avg paid/claim, 99443 has 66 claims at $67 avg paid/claim, and 99442 has 57 claims at $58 avg paid/claim. These volumes are consistent with the revenue concentration into a handful of E/M‑type codes rather than high volumes of many low‑value procedures.

Lower‑volume codes on the profile include 99214 (13 claims, $90 avg paid/claim, $1.2K revenue, 6.5% of Medicare revenue) and 99441 (21 claims, $37 avg paid/claim, $777 revenue, 4.3% of Medicare revenue); 99214 is ranked #466550 of 479517 providers nationally (2th percentile; typical, unremarkable volume) while 99441 ranks #5648 of 10645 providers nationally (44th percentile; typical, unremarkable volume). These entries underline that the provider’s Medicare billing is skewed toward a few top services with several other codes present only at low volume.

The provider’s NPI was enumerated on 2007-04-04 (~19 years ago), indicating a long tenure in the Medicare system. That longevity, coupled with a very small Medicare revenue base ($18.1K), suggests an established local practice or part‑time Medicare billing rather than a high‑volume Medicare enterprise.

Because there is no Medicaid billing on file, network, reimbursement, or utilization analyses that depend on dual‑payer behavior cannot be performed for this provider; any competitive or operational conclusions should be drawn primarily from Medicare activity and the concentrated code mix. Analysts seeking Medicaid comparators or in‑state Medicaid share should note the absence of Medicaid claims for this NPI.

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
99215	The 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…	80	$110	$8.4K
99443	N/A	70	$70	$4.4K
99442	N/A	60	$60	$3.3K
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…	10	$90	$1.2K
99441	N/A	20	$40	$780

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. U.S. Virgin Islands Distribution

Lisa Mcmahon — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	13	30	60	$120	$19.8K
99214	71	80	100	$80	$15.5K
99443	1	10	70	$70	$4.4K
99442	1	10	50	$50	$2.8K
99441	1	10	20	$40	$770

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Martin	MS	Family Medicine Physician	$9M	$0
Scott Cook	PA	Family Medicine Physician	$130.6K	$3.9M
David Filsoof	CA	Cardiovascular Disease Physician	$1.3M	$0
Tariq Yousuf	TX	Interventional Cardiology Physician	$1.3M	$0
Ritu Saini	NY	MOHS-Micrographic Surgery Physician	$687.6K	$487.4K
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Aaron Aldape	TX	Family Medicine Physician	$988.1K	$0
Atif Rasheed	TN	Emergency Medicine Physician	$832.9K	$54.7K
Mitesh Patel	NJ	Sports Medicine (Family Medicine) Physician	$785K	$0
Robert Galamaga	AZ	Hematology & Oncology Physician	$749.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Lisa Mcmahon — Billing Profile & Reimbursement Data

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Lisa Mcmahon — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References