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

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

Kenneth Lao (NPI 1861463093)

Field	Value
Entity Type	Individual
Organization	Kenneth Lao
Address	2401 S 31st St
City	Temple
State	TX
ZIP	76508
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicare	$65.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 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…	320	$60	$20.7K
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…	200	$90	$18.2K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	360	$30	$9.3K
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…	160	$50	$7.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$100	$3.9K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	110	$20	$1.9K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	140	$10	$1.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$30	$1.2K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	30	$20	$530

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Kenneth Lao — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,663	32,500	110	$80	$17.6K
99213	7,813	29,790	70	$60	$8.4K
92134	1,204	1,690	70	$30	$8.3K
99204	304	16,380	30	$110	$5.6K
99222	2,913	7,910	30	$100	$4.9K
92083	428	1,590	50	$40	$4.1K
99231	1,453	2,700	40	$40	$3.5K
92060	5	90	30	$40	$3.3K
92133	337	1,470	50	$20	$2.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott & White Memorial Hospital	TX	General Acute Care Hospital	$0	$55.1M
Scott & White Clinic	TX	Internal Medicine Physician	$0	$45.6M
Nilan Naik	TX	Radiation Oncology Physician	$906.8K	$0
Matthew Jepson	TX	Internal Medicine Physician	$361.6K	$0
Johnny Ross	TX	Physical Medicine & Rehabilitation Physician	$322.1K	$0
Jeffrey Knabe	TX	Orthopaedic Surgery Physician	$284K	$0
Gregory Stenoien	TX	Diagnostic Radiology Physician	$275.1K	$0
Daniel Dubose	TX	Anesthesiology Physician	$242.1K	$0
Mehul Patel	TX	Radiation Oncology Physician	$231.8K	$0
Kirby Hitt	TX	Orthopaedic Surgery Physician	$223K	$0

Kenneth Lao — Billing Profile & Reimbursement Data

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Kenneth Lao — 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