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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Phillip Lam (NPI 1881984110)

Field	Value
Entity Type	Individual
Organization	Phillip Lam
Address	3800 Reservoir Rd Nw
City	Washington
State	DC
ZIP	20007
Taxonomy	Advanced Heart Failure and Transplant Cardiology Physician
NPI Enumerated	April 7, 2011

Payer Source	Total Paid
Medicare	$101.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	420	$100	$42.7K
99215	The provider sees an established 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…	270	$120	$32.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	60	$190	$10.4K
93750	In this procedure, the provider tests the settings of a ventricular assist device, a mechanical pump connected to the heart and aorta that ensures adequate blood flow in the presence of heart…	250	$40	$8.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$150	$5.1K
99205	The 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…	10	$160	$2.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20	$10	$120

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Phillip Lam — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	93	650	90	$100	$17.6K
99291	178	410	50	$180	$14.8K
99215	50	660	50	$130	$12.3K
99223	333	610	40	$140	$8.4K
99205	267	330	30	$170	$5.6K
93750	2	10	170	$30	$5K
93010	133	150	60	$10	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar - Georgetown Medical Center, Inc.	DC	General Acute Care Hospital	$0	$45.6M
Mgmc, LLC	DC	General Practice Physician	$0	$18.1M
Annal Meleth	GA	Ophthalmology Physician	$2.2M	$0
Paul Bannen	MD	Hematology & Oncology Physician	$1.4M	$0
Nihar Patel	TX	Hematology & Oncology Physician	$1.2M	$0
Omid Fatemi	CA	Interventional Cardiology Physician	$1M	$0
Mary Ella Carter	DC	Plastic Surgery Physician	$942.2K	$0
Medstar Georgetown Medical Center, Inc	DC	Internal Medicine Physician	$0	$923.4K
Jack Flyer	MD	Cardiovascular Disease Physician	$906.4K	$0
Ashkan Bahrani	MD	Hematology & Oncology Physician	$839.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. John's Community Services-dc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$99M
Mina Akhlaghi	DC	Dentist	$0	$2.1M
Anisa Omar	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$892K
Fred Mo	DC	Orthopaedic Surgery of the Spine Physician	$688.8K	$0
Parham Farid	DC	Diagnostic Radiology Physician	$642.7K	$0
Siamak Majidi	DC	Pediatric Dentistry	$0	$618.1K
Andrea Singer	DC	Internal Medicine Physician	$608.6K	$0
Ryan Hankins	DC	Urology Physician	$445K	$0
Sean Collins	DC	Radiation Oncology Physician	$444.1K	$0
Fernando Pagan	DC	Neurology Physician	$436.9K	$0

Phillip Lam — Billing Profile & Reimbursement Data

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Phillip Lam — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References