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

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

Michelle Lopez (NPI 1780159251)

Field	Value
Entity Type	Individual
Organization	Michelle Lopez
Address	1130 W Chester Pike
City	West Chester
State	PA
ZIP	19382
Taxonomy	Clinical Psychologist
NPI Enumerated	October 10, 2018

Payer Source	Total Paid
Medicare	$183K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,700	$60	$103.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	560	$140	$79.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Michelle Lopez — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	6	360	70	$50	$10.7K
90791	3	550	20	$110	$5.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Herrold	PA	Nurse Practitioner	$174.3K	$1.9K
Nicholas Armao	PA	Psychiatric/Mental Health Nurse Practitioner	$157.5K	$1.6K
Anthony Pieracini	PA	Family Nurse Practitioner	$146.9K	$1.5K
Elizabeth Merryfield	PA	Psychologist	$144.9K	$0
Diana Salisbury	PA	Clinical Social Worker	$128.8K	$0
Krista Coons	PA	Clinical Psychologist	$126.8K	$0
Eve Townsend	PA	Clinical Social Worker	$123.6K	$0
Amy Seader	PA	Clinical Psychologist	$113K	$0
Amy Sunday	PA	Mental Health Counselor	$109.2K	$0
Darren Whaley	DE	Clinical Psychologist	$98.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaudenzia Inc	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18.4M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$15.9M
James Benjamin	PA	Ophthalmology Physician	$2.3M	$0
Daniel Toocheck	PA	Optometrist	$403.2K	$27.5K
Shabih Khan	PA	Internal Medicine Physician	$372.1K	$2.4K
Maria Higgins	PA	Optometrist	$308.2K	$290
Ignatius Hneleski	PA	Ophthalmology Physician	$291.2K	$0
Raymond Jones	PA	Ophthalmology Physician	$245.7K	$0
Thrift Drug Inc	PA	Community/Retail Pharmacy	$134.1K	$0
Rosamund Lehmann	PA	Emergency Medicine Physician	$132K	$0

Michelle Lopez — Billing Profile & Reimbursement Data

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Michelle Lopez — 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