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

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

James Lust (NPI 1831116466)

Field	Value
Entity Type	Individual
Organization	James Lust
Address	1095 S Bradford St
City	Dover
State	DE
ZIP	19904
Taxonomy	Physician Assistant
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicare	$43.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	460	$80	$35.7K
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…	40	$40	$1.8K
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	$100	$1.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	60	$20	$1.4K
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…	20	$60	$1.2K
99441	N/A	30	$30	$780
99442	N/A	10	$50	$610
J1885	Injection, ketorolac tromethamine, per 15 mg	120	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

James Lust — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	363	1,830	150	$80	$25.5K
99213	1,399	1,810	120	$60	$13.6K
99204	757	950	30	$110	$6.5K
99203	480	670	40	$70	$5.3K
99442	97	120	30	$50	$3.9K
99441	23	60	30	$30	$2K
96374	1	10	40	$30	$1.1K
J1885	4	20	40	$1	$50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cnmri	DE	Neurology Physician	$0	$4.9M
Jay Dave	DE	Neurology Physician	$355K	$0
Robert Varipapa	DE	Neurology Physician	$258.5K	$0
Jay Freid	VA	Physical Medicine & Rehabilitation Physician	$244.6K	$0
John Coll	DE	Sleep Medicine (Internal Medicine) Physician	$234.9K	$0
Stephen Penny	DE	Neurology Physician	$174K	$0
Janine Islam	TX	Physical Medicine & Rehabilitation Physician	$157.4K	$0

James Lust — Billing Profile & Reimbursement Data

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James Lust — 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

Frequently Asked Questions

References