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

Why is the Medicaid comparison limited to Iowa 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. Iowa (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 Graham (NPI 1780820860)

Field	Value
Entity Type	Individual
Organization	Lauren Graham
Address	105 E 9th St
City	Coralville
State	IA
ZIP	52241
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 19, 2008

Payer Source	Total Paid
Medicare	$45.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	330	$70	$21.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	$120	$12.4K
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	$100	$7.4K
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…	60	$40	$2.5K
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…	10	$100	$1.1K
99421	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	50	$10	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Lauren Graham — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	879	4,690	100	$70	$14.4K
G0439	428	1,150	80	$120	$12.1K
99213	3,086	4,740	100	$50	$8K
99215	258	1,220	30	$110	$6.4K
99204	1,791	1,870	30	$100	$5K
99421	1	10	20	$10	$210

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sac & Fox Of The Miss In Iowa	IA	Primary Care Clinic/Center	$0	$19.7M
Grinnell Regional Medical Center	IA	General Acute Care Hospital	$0	$2.2M
Grinnell Regional Medical Center	IA	Family Medicine Physician	$0	$862.9K
Steven Heddinger	IA	Medical Oncology Physician	$830.4K	$0
Melisa Coaker	IA	Sleep Medicine (Internal Medicine) Physician	$370.4K	$0
Brian Heineman	IA	Adolescent Medicine (Family Medicine) Physician	$142.7K	$224.8K
Hamad Azam	IA	Pulmonary Disease Physician	$163.2K	$0
Hafiz Rizwan Talib Hashmi	IA	Pulmonary Disease Physician	$151.8K	$0
Sean Mcmurray	IA	Podiatrist	$146.3K	$0
Vijaya Gogineni	IA	Pulmonary Disease Physician	$130.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State University Of Iowa	IA	Clinical Medical Laboratory	$1.5K	$1.9M
C R Pharmacy Service Inc	IA	Oxygen Equipment & Supplies (DME)	$0	$1.1M
Alli Center LLC	IA	Clinical Social Worker	$0	$1.1M
Corridor Ketamine LLC	IA	Certified Registered Nurse Anesthetist	$0	$979K
Hobart Walling	IA	MOHS-Micrographic Surgery Physician	$334.5K	$0
Logan Skelley	IA	MOHS-Micrographic Surgery Physician	$298.5K	$0
Hy-vee Inc	IA	Community/Retail Pharmacy	$213.6K	$30.3K
Thomas Boysen	IA	Dermatology Physician	$241.4K	$0
Shane Kraske	IA	Diagnostic Radiology Physician	$226.8K	$0
Hillary Johnson-jahangir	IA	MOHS-Micrographic Surgery Physician	$226.1K	$0

Lauren Graham — Billing Profile & Reimbursement Data

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Lauren Graham — 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