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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Steven Lerner (NPI 1811091440)

Field	Value
Entity Type	Individual
Organization	Steven Lerner
Address	1120 19th St Nw
City	Washington
State	DC
ZIP	20036
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	September 12, 2006

Payer Source	Total Paid
Medicare	$91.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 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…	280	$100	$27.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	$150	$11.5K
94726	The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…	180	$50	$9.1K
94729	In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.	180	$50	$9K
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…	60	$130	$7.4K
94375	The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…	210	$40	$7.2K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	170	$30	$5.4K
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…	30	$160	$4.6K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	50	$70	$3.5K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	70	$30	$2.2K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Steven Lerner — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	239	1,400	90	$100	$15.3K
99215	426	660	50	$130	$12.3K
G0439	98	250	60	$140	$12.2K
99213	1,092	1,200	50	$70	$8.5K
99204	218	670	30	$130	$6.4K
90662	40	130	30	$70	$3.1K
94375	2	20	50	$30	$2.4K
94726	2	20	50	$40	$2.2K
G0008	88	270	30	$30	$2K
94729	2	40	50	$30	$2K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Management, Inc.	DC	Home Health Agency	$0	$70.9M
Asap Services Corporation	DC	Home Health Agency	$0	$44.3M
Palisades Healthcare Partners Inc	DC	Home Health Agency	$0	$4.7M
Mindflower Limited Liability Company	DC	Professional Counselor	$0	$3.6M
Altasource Management Company, LLC.	DC	Case Management Agency	$0	$2.2M
Suburban/nrh Medical Rehabilitation Inc	DC	Rehabilitation Clinic/Center	$0	$1.8M
Capitol Oms PLLC	DC	Dentist	$0	$1.7M
Thomas Shin	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Therapeutic Links Behavioral Health Services, LLC	DC	Clinical Social Worker	$0	$1.2M
Bio-medical Applications Of The District Of Columbia, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$936.8K

Steven Lerner — Billing Profile & Reimbursement Data

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Steven Lerner — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References