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    OpenPayerNPI Medicare & MedicaidEdward Lewiecki
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    Edward Lewiecki — Billing Profile & Reimbursement Data

    NPI 1861441735 · Albuquerque, NM · Internal Medicine Physician

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    Edward Lewiecki is a internal medicine physician provider located in Albuquerque, New Mexico. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEdward Lewiecki
    Address300 Oak St Ne
    CityAlbuquerque
    StateNM
    ZIP87106
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 9, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is the sole payer footprint on file: total Medicare revenue is $1.8M while there is no Medicaid billing on file, making the practice effectively single‑payer Medicare in scale. That payer concentration should shape any assessment of market exposure and contracting leverage.

    Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 92.2% of this provider’s total Medicare revenue. That concentration indicates a narrow revenue base driven by a few high‑revenue therapies rather than a broadly diversified mix of office and procedure revenue.

    J0897 is the single largest revenue driver for this provider: 54.5K claims, $18 avg paid/claim, $980.6K revenue (53.8% of this provider's total Medicare revenue) and it ranks #17 of 10057 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). This makes the provider an exceptional national outlier for denosumab administration and indicates operational focus and scale in that specific injectable therapy.

    J3111 is the second major revenue source with 80K claims, $8 avg paid/claim, $639.7K revenue (35.1% of this provider's total Medicare revenue) and ranks #25 of 970 providers nationally (98th percentile; notably above typical national volume for this code). High romosozumab volume alongside J0897 reinforces a business profile centered on osteoporosis biologic therapies delivered in the office or infusion setting.

    The provider also shows a high relative volume of bone‑health imaging and ongoing outpatient management: 77080 appears with 775 claims and $27.1K revenue (1.5%) and ranks #497 of 17308 providers nationally (97th percentile), while 77089 has 462 claims and $11.6K revenue (0.6%) and ranks #22 of 348 providers nationally (94th percentile). These DXA and trabecular bone score services, paired with E/M volume (99214: 748 claims, $61.3K revenue (3.4%), rank #22761 of 479517 (95th percentile); 99213: 616 claims, $35.1K revenue (1.9%), rank #18503 of 457151 (96th percentile)), point to integrated osteoporosis management—diagnosis, monitoring, and in‑office treatment.

    Several utilization metrics mark the provider as a competitive outlier on a national scale for injection and infusion administration: 96372 shows 1.3K claims, $12.9K revenue (0.7%) and ranks #219 of 58224 providers nationally (100th percentile; extreme outlier), and 99205 shows 159 claims, $21.9K revenue (1.2%) and ranks #799 of 66257 providers nationally (99th percentile; extreme outlier). Collectively these ranks indicate a practice with unusually high throughput for in‑office procedures and higher‑complexity new patient visits relative to national peers.

    The business model implied by the code mix—dominant revenue from J0897 and J3111 plus onsite DXA and frequent injections—creates operational advantages (scale in biologic administration) but also a concentration risk: with the top 3 codes accounting for 92.2% of Medicare revenue, changes in utilization patterns, clinical guidelines, or reimbursement for these specific drugs and administration codes could materially affect revenue. Analysts should treat future reimbursement policy shifts for osteoporosis biologics as a primary financial sensitivity for this provider.

    The provider’s NPI tenure (enumerated 2006-05-09, ~20 years ago) indicates an established practice likely with sustained referral sources and operational continuity. Combined with the specialized, high‑volume service mix documented above, tenure supports the view of a mature, niche outpatient practice focused on bone health and biologic injection services rather than a general primary‑care panel with mixed payer exposure.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg54,480$20$980.6K
    J3111Injection, romosozumab-aqqg, 1 mg79,970$10$639.7K
    99214The 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…750$80$61.3K
    99213The 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…620$60$35.1K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…780$40$27.1K
    99205The provider sees a new 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 provider…160$140$21.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…360$40$13.9K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,290$10$12.9K
    77089The provider uses imaging data and software to calculate a patient’s trabecular bone score. The service includes an interpretation and report on the patient’s fracture risk.460$30$11.6K
    99443N/A90$80$7.2K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J311111030,030$10$299.1K
    J08971503,150$20$113.2K
    99214802,70090$70$12.9K
    9921588996040$110$7.8K
    99213832,44060$50$7.3K
    96365214080$40$6K
    77089310160$20$5.6K
    77080470120$20$5K
    99443108030$80$4.7K
    99205434020$140$4.3K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lance RudolphNMInternal Medicine Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unm HospitalNMGeneral Acute Care Hospital$0$462.9M
    Presbyterian Healthcare ServicesNMGeneral Acute Care Hospital$0$345.3M
    Unm Medical Group IncNMMulti-Specialty Clinic/Center$0$113.5M
    Dungarvin New Mexico LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$84.6M
    Perinatal Associates Of New Mexico, LtdNMMaternal & Fetal Medicine Physician$0$62.6M
    Optumcare New Mexico LLCNMFamily Medicine Physician$0$23.6M
    Unm HospitalNMPsychiatric Hospital Unit$228.5K$17.6M
    Family Eye Care/children's Eye Center Of New Mexico, P.C.NMOphthalmology Physician$0$13.3M
    Pediatrix Medical Group Of New Mexico, P.C.NMNeonatal-Perinatal Medicine Physician$0$11.9M
    Guardian Flight LLCNMAir Ambulance$372.6K$6.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Mexico Distribution
    Edward Lewiecki — 7 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico