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

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

Wayne Lamoreaux (NPI 1831188036)

Field	Value
Entity Type	Individual
Organization	Wayne Lamoreaux
Address	1204 N Vercler Rd
City	Spokane Valley
State	WA
ZIP	99216
Taxonomy	Radiation Oncology Physician
NPI Enumerated	October 19, 2005

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

This provider is operating as a radiation oncology practice with a heavy diagnostic-imaging footprint: the top Medicare revenue drivers are the radiopharmaceutical A9596 ($414.8K, 498 claims, $833 avg paid/claim) and PET/CT imaging 78815 ($370.8K, 315 claims, $1177 avg paid/claim), paired with radiation delivery code G6015 ($170.2K, 583 claims, $292 avg paid/claim). The mix of high-value PET radiotracers alongside IMRT and other treatment-delivery codes indicates an integrated workflow that combines in-house advanced PET imaging with active radiation treatment services.

Revenue is highly concentrated in a small set of imaging and delivery codes: the precomputed top-3 Medicare codes account for 65.5% of this provider's total Medicare revenue, against total Medicare revenue of $1.5M. That concentration suggests the practice’s financial performance is driven primarily by a narrow set of diagnostic and treatment services rather than broad-based primary care or office E/M volume.

A9596 is a notable outlier in this profile: it generates $414.8K (28.4% of Medicare revenue), ranks #10 of 168 providers nationally (95th percentile), and is explicitly labeled "notably above typical national volume." This positioning signals that the provider is a national-level high-utilizer for Ga-68 gozetotide (Illuccix) PET imaging relative to peers and may represent a local or regional center for this specific diagnostic service.

Despite strong A9596 activity, the PET/CT imaging code 78815 — which produces $370.8K (25.4% of Medicare revenue) and ranks #546 of 6566 providers nationally (92th percentile) — is described in the dataset as having "typical, unremarkable volume." In practical terms this means the practice’s overall PET/CT utilization is sizeable in dollar terms but is not flagged as an statistical outlier across the much larger national peer set for that code.

Radiation treatment delivery and planning codes show routine therapeutic activity: G6015 contributes $170.2K (11.7% of Medicare revenue) and ranks mid-pack at #673 of 1429 (53th percentile), while IMRT planning 77301 adds $75.6K (5.2%). Together these codes indicate an active course-of-treatment practice offering advanced external beam techniques (IMRT and related delivery sessions) at volumes consistent with a typical radiation oncology provider.

Competitive standing is mixed: the provider is a dominant national-level participant for A9596 but is a modest or typical participant across most other codes (many described as "typical, unremarkable volume" or occupying mid percentiles). This pattern suggests a specialized competitive advantage in Ga-68 PET imaging within an otherwise conventional radiation oncology service portfolio.

Payer mix is essentially single-payer Medicare: lifetime Medicare revenue is $1.5M and there is no Medicaid billing on file (none below — this provider has no Medicaid billing on file). The absence of Medicaid revenue implies limited exposure to Medicaid populations and indicates that analyses of commercial or Medicaid contracts would need supplemental data sources.

The provider has long-tenure in the NPI file (NPI enumerated 2005-10-19 (~21 years ago)), which combined with concentrated, high-value imaging volumes suggests an established practice that has developed a specific service niche over time rather than a newly emergent operation. Tenure supports the interpretation that current code mix reflects a settled business model rather than a transient billing pattern.

Medicare: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9596	Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie	500	$830	$414.8K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	320	$1,180	$370.8K
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	580	$290	$170.2K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	280	$280	$78.4K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	50	$1,480	$75.6K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	60	$1,180	$70.8K
77014	N/A	660	$100	$63.8K
77373	This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…	40	$810	$33.9K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	130	$150	$19.8K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	50	$370	$19.8K

Showing 1–10 of 35

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Wayne Lamoreaux — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

35 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	18	30	650	$290	$204.1K
A9596	1	10	180	$830	$183K
78815	11	110	50	$430	$50.3K
77373	10	20	40	$810	$40.3K
G6012	19	20	170	$190	$35.2K
77014	39	120	450	$60	$32.7K
G6013	19	20	100	$190	$29K
77301	19	90	30	$770	$28.5K
77427	63	110	150	$150	$26.5K
A9552	4	40	50	$280	$23.8K

Showing 1–10 of 35

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph Hospital LLC	ID	General Acute Care Hospital	$0	$4.7M
Cancer Care Northwest Centers P S	WA	Hematology & Oncology Physician	$0	$3M
Danko Martincic	ID	Hematology & Oncology Physician	$2.6M	$0
Columbia Surgical Specialists, Ps	WA	Ambulatory Surgical Clinic/Center	$891.1K	$1.2M
Vijay Narendran	FL	Hematology & Oncology Physician	$2M	$0
Saritha Thumma	WA	Hematology & Oncology Physician	$1.8M	$0
Hakan Kaya	WA	Medical Oncology Physician	$1.8M	$0
Christopher Lee	WA	Radiation Oncology Physician	$1.7M	$0
Elizabeth Gunderson	WA	Medical Oncology Physician	$1.6M	$0
Srivalli Gopaluni	WA	Hematology & Oncology Physician	$1.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	WA	Home Infusion Therapy Pharmacy	$27.8K	$41.8M
Incyte Pathology, PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$0	$27.5M
Multicare Health System	WA	General Acute Care Hospital	$0	$24.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$18.1M
American Behavioral Health Systems, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$9.5M
Peaks And Plains Medical, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Kirk Fuhriman PLLC	WA	Dentist	$0	$5.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$3.4M
Incyte Pathology, PLLC	WA	Clinical Medical Laboratory	$3.2M	$159.4K
Lincare Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.1M

Wayne Lamoreaux — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References