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

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

Vanessa Lee (NPI 1881097400)

Field	Value
Entity Type	Individual
Organization	Vanessa Lee
Address	3931 Louisiana Ave S
City	St Louis Park
State	MN
ZIP	55426
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 28, 2014

Payer Source	Total Paid
Medicare	$20.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 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…	220	$70	$15.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	250	$10	$2K
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	110	$10	$860
99442	N/A	20	$40	$720
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	140	$1	$280
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	30	$10	$190
82570	The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	30	$10	$160
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	10	$10	$100
84550	The lab analyst performs a test to measure the amount of uric acid in patient blood.	10	$1	$60
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	10	$1	$40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Vanessa Lee — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,123	10,100	70	$80	$8.1K
36415	467	3,480	80	$10	$1.5K
99442	222	420	20	$60	$1.4K
80069	10	70	40	$10	$1.1K
85025	1,519	1,600	30	$10	$980
84550	78	110	20	$1	$460
82043	178	660	20	$10	$300
82570	148	500	20	$1	$290
81001	1,053	1,120	20	$1	$180
85018	16	400	20	$1	$100

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Care Clinics, LLC	MN	Psychologist	$0	$13.9M
Por, LLC	MN	Case Management Agency	$0	$10.9M
Medway Support Services. LLC	MN	Health Maintenance Organization	$0	$10.2M
Hoy & Associates Inc.	MN	Community/Behavioral Health Agency	$0	$9.5M
Behavioral Dimensions, Inc.	MN	Cognitive & Behavioral Psychologist	$0	$8.6M
Kaire LLC	MN	Community/Behavioral Health Agency	$0	$8.2M
Sholom Community Alliance Home Health Care	MN	Home Health Agency	$0	$6.7M
Melissa Sherman	MN	Internal Medicine Physician	$625.1K	$0
Turang Behbahani	MN	Hematology & Oncology Physician	$613.9K	$0

Vanessa Lee — Billing Profile & Reimbursement Data

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Vanessa Lee — 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