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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Lauren Graham (NPI 1881188571)

Field	Value
Entity Type	Individual
Organization	Lauren Graham
Address	Unit 33100 Box Landstuhl
City	Apo
State	AE (Armed Forces Europe)
ZIP	09180
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 18, 2018

Payer Source	Total Paid
Medicare	$7.7K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is very small in absolute terms: Total Medicare revenue is $7.7K and there is no Medicaid billing on file, making the provider effectively single‑payer (Medicare) in the available claims data. The absence of any Medicaid activity suggests the provider does not participate in or bill Medicaid programs during the observed period.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue. Within that concentration, two codes dominate — 99214 accounts for $4.3K (55.7% of Medicare revenue) and 99204 accounts for $3.4K (44.3% of Medicare revenue) — indicating virtually all Medicare dollars derive from office/outpatient E/M visits.

The code mix points to a straightforward outpatient internal medicine practice focused on evaluation and management visits: 99214 represents established patient office visits with a moderate level of decision making (and/or ~30 minutes total time), while 99204 represents new patient visits with a higher time/complexity threshold (and/or ~45 minutes total time). This pattern suggests the provider’s business is centered on face‑to‑face E/M encounters rather than procedures or ancillary services.

Claim counts and allowed amounts reinforce a low‑volume, office‑visit driven pattern: 99214 has 45 claims with an average paid per claim of $95, and 99204 has 26 claims with an average paid per claim of $131. The relatively higher average payment for 99204 combined with fewer claims is consistent with fewer, longer new‑patient visits and a higher proportion of revenue per encounter coming from new‑patient work.

Against national peers this provider is a modest participant for both top codes: 99214 ranks #351048 of 479517 providers nationally (26th percentile; typical, unremarkable volume for this code) and 99204 ranks #132807 of 227068 providers nationally (40th percentile; typical, unremarkable volume for this code). Those percentile positions indicate the provider does not appear as a high‑volume or dominant national billing source for common E/M codes.

The provider’s NPI was enumerated on 2018-06-18 (~8 years ago), establishing a reasonable tenure in the registry; however, the combination of an 8‑year enumeration date and only $7.7K in lifetime Medicare revenue points toward limited Medicare engagement or a small‑scale outpatient practice rather than a large clinic or multi‑provider group.

From a payer or network planning perspective, this profile suggests limited impact on Medicare utilization budgets and negligible Medicaid exposure: the provider is unlikely to materially shift network capacity for either payer given no Medicaid billing and modest Medicare volumes concentrated in routine E/M codes.

Both top billed codes are described as "typical, unremarkable volume for this code," and the provider’s national ranks and claim counts align with that characterization; there are no codes in the profile flagged as statistical outliers or notably above typical volume, indicating a conventional billing pattern focused on standard office visits.

Medicare: Complete Services Breakdown

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

2 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…	50	$100	$4.3K
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…	30	$130	$3.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Lauren Graham — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12	20	70	$90	$15.4K
99204	6	10	30	$110	$5.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Clinical Practice Association Inc	FL	Surgery Physician	$0	$79.3M
University Of Florida Jacksonville Physicians, Inc.	FL	Internal Medicine Physician	$0	$41.4M
Larry Wilf	FL	Nuclear Radiology Physician	$1.2M	$0
Fernando Kafie	FL	Vascular Surgery Physician	$723.1K	$0
Mansoor Mughal	FL	Ophthalmology Physician	$432.4K	$41.5K
Felice Esposito	PA	Diagnostic Radiology Physician	$153.2K	$212.3K
Tyler Campbell	RI	Diagnostic Radiology Physician	$252K	$100.4K
Aditya Saini	FL	Clinical Cardiac Electrophysiology Physician	$332.5K	$0
Charles Potter	GA	Neonatal-Perinatal Medicine Physician	$0	$275.9K
Pantelis Hadjizacharia	CO	Vascular Surgery Physician	$200.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jude Momodu	AE (Armed Forces Europe)	Family Medicine Physician	$42.8K	$86.6K
Matthew Brice	AE (Armed Forces Europe)	Emergency Medicine Physician	$60.1K	$0
Steve Louvet	AE (Armed Forces Europe)	Emergency Medicine Physician	$11.6K	$40.3K
Katherine Cooper	AE (Armed Forces Europe)	Occupational Therapist	$48.9K	$0
Eric Dahl	AE (Armed Forces Europe)	General Practice Physician	$44.8K	$0
Michael Sanzari	AE (Armed Forces Europe)	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$43.9K
Washeema Jones	AE (Armed Forces Europe)	Acute Care Nurse Practitioner	$29.6K	$0
Gregory Phillips	AE (Armed Forces Europe)	Neurology Physician	$22.7K	$0
Nicole Fee	AE (Armed Forces Europe)	Optometrist	$15.4K	$3.5K
Carlina Madelaire	AE (Armed Forces Europe)	Anatomic Pathology & Clinical Pathology Physician	$12.6K	$0

Lauren Graham — Billing Profile & Reimbursement Data

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Lauren Graham — 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