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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Lyle Folsom (NPI 1770698334)

Field	Value
Entity Type	Individual
Organization	Lyle Folsom
Address	1016 W Pierce St
City	Carlsbad
State	NM
ZIP	88220
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicare	$175.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,800	$60	$111.8K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	180	$90	$16.8K
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…	110	$90	$10.1K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	270	$20	$6.5K
99203	The provider sees a new 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 provider…	80	$80	$6.2K
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	70	$80	$5.6K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	60	$90	$4.8K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	20	$170	$4.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	70	$40	$2.7K
99204	The 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…	20	$110	$2.2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Lyle Folsom — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11043	11	10	40	$150	$17.9K
99214	1,172	2,700	90	$70	$12.9K
11042	8	70	70	$80	$7.3K
99213	6	2,440	60	$50	$7.3K
99204	788	1,210	30	$100	$4.5K
99203	161	870	30	$60	$3.3K
11730	3	20	20	$80	$3K
10060	1	10	30	$80	$2.6K
10120	1	10	20	$120	$2.2K
99212	137	570	30	$30	$2.2K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Cady	AZ	Podiatrist	$60.5K	$59.3K
Derik Brown	NM	Foot & Ankle Surgery Podiatrist	$57.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlsbad Medical Center LLC	NM	General Acute Care Hospital	$0	$26.4M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$9.2M
Pecos Valley Of New Mexico, LLC	NM	General Practice Physician	$0	$6.4M
Carlsbad Lifehouse Inc	NM	Community/Behavioral Health Agency	$0	$4.5M
Carc, Inc.	NM	Community/Behavioral Health Agency	$0	$4.3M
Caring Angels, LLC	NM	Home Infusion Agency	$0	$3.9M
Raney Pediatrics	NM	Pediatrics Physician	$0	$3.4M
Familia Dental Carlsbad LLC	NM	General Practice Dentistry	$0	$2.5M
City Of Carlsbad	NM	Land Ambulance	$390.4K	$1.3M
Michael Lim	NM	Ophthalmology Physician	$75K	$1.6M

Lyle Folsom — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References