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

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

Lawrence Lee (NPI 1841670304)

Field	Value
Entity Type	Individual
Organization	Lawrence Lee
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 31, 2015

Payer Source	Total Paid
Medicare	$34K
Medicaid	$0

Key Findings

Practice profile: Code mix is concentrated in emergency department E/M services, with the highest-revenue codes being 99284, 99285 and 99283. The presence of 93010 (routine 12‑lead ECG interpretation) alongside these E/M codes reinforces an ED-focused practice pattern where moderate- and high-acuity ED encounters and point-of-care ECG interpretation are routine components of billed services.

Revenue concentration: This provider reports total Medicare revenue of $34K and a precomputed top-3 concentration where 99284, 99285 and 99283 together account for 95.4% of that Medicare revenue. Individually those three codes are $18.7K (55.0%), $10.6K (31.1%) and $3.2K (9.3%) of the provider's Medicare revenue, respectively, showing an extremely top-heavy revenue profile tied to a small set of ED E/M codes.

Payer mix and scale: Medicare is effectively the sole public payer on file — total Medicare revenue is $34K and there is no Medicaid billing on file. That lack of Medicaid activity makes this provider effectively single-payer (Medicare) in the available claims data and limits comparisons against in-state Medicaid peers.

Volume and payment pattern: The provider submitted 231 claims for 99284 at an average paid per claim of $81, 79 claims for 99285 at $134 avg paid/claim, and 69 claims for 99283 at $46 avg paid/claim. These counts show the provider generates the bulk of Medicare activity through higher-volume 99284 visits while 99285 yields higher average payment per claim but lower claim volume.

Competitive standing by code: For 99284 the provider ranks #1350 of 64306 nationally (98th percentile), a position described as notably above typical national volume and indicating a strong national presence for that particular ED moderate‑acuity code. By contrast, 99285 ranks #36432 of 61347 (40th percentile) and is characterized as typical/unremarkable volume nationally, so the provider is not a high-volume national outlier for the highest-acuity ED encounters.

Statistical outliers and typicalities: Two of the provider's ED E/M codes are flagged as notably above typical national volume (99284 at the 98th percentile and 99283 at the 94th percentile), while 99285 and 93010 are characterized as typical, unremarkable volume at their respective percentiles. This mixed pattern suggests unusually high utilization of certain moderate- and low-acuity ED services relative to peers, alongside standard levels of the highest-acuity ED visits and diagnostic ECG interpretation.

Operational/market implications: A Medicare revenue base concentrated in a few ED E/M codes implies this clinician likely works in a site that funnels ED encounters through a limited set of billable E/M services (e.g., shift-based ED coverage or singular ED location). The absence of Medicaid billing also suggests limited or no participation in state Medicaid fee-for-service networks, which could affect payer mix and contracting leverage in the local market.

Tenure and reliability of signal: NPI enumeration date is 2015-05-31 (~11 years ago), giving the provider a multiyear footprint to generate the observed patterns. Given that tenure, the observed concentration in a small set of ED E/M codes and the national outlier status on 99284 and 99283 represent a stable and actionable signal for benchmarking against ED-focused peers.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	230	$80	$18.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	80	$130	$10.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	70	$50	$3.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	180	$10	$1.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	20	$30	$460

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Lawrence Lee — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	9	20	80	$140	$15.2K
99284	2	20	90	$90	$9.4K
99283	2	10	30	$50	$2.1K
93010	4	20	80	$10	$1K
99282	3	10	20	$30	$530

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kavita Tumma	MI	Gastroenterology Physician	$206.5K	$0
Nick Buttar	MI	Family Medicine Physician	$157.1K	$0
Jiab Suleiman	MI	Orthopaedic Surgery Physician	$154.8K	$0
Gerald Schell	MI	Neurological Surgery Physician	$144.5K	$0
Amer Alame	MI	Colon & Rectal Surgery Physician	$97.2K	$0
Moutaz Haiba	MI	Anatomic Pathology & Clinical Pathology Physician	$67.4K	$0
Majd Jundi	MI	Anatomic Pathology & Clinical Pathology Physician	$64.2K	$0
Eugene Olsowka	MI	Anatomic Pathology & Clinical Pathology Physician	$53.2K	$0
Sarah George	MI	Anatomic Pathology & Clinical Pathology Physician	$46.2K	$0
Shane Starr	MI	Anatomic Pathology & Clinical Pathology Physician	$27.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Lawrence Lee — Billing Profile & Reimbursement Data

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Lawrence Lee — 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