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

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

Keith Lyons (NPI 1891158044)

Field	Value
Entity Type	Individual
Organization	Keith Lyons
Address	690 Minot Ave # 1
City	Auburn
State	ME
ZIP	04210
Taxonomy	Orthopaedic Surgery of the Spine Physician
NPI Enumerated	April 4, 2016

Payer Source	Total Paid
Medicare	$15.3K
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
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…	50	$100	$5.2K
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…	70	$70	$5.2K
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…	20	$110	$2.2K
99203	The provider sees a new 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 provider…	20	$60	$1.1K
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	100	$10	$770
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…	10	$50	$590
72040	The patient has a 2– or 3–view X–ray of the neck vertebrae.	30	$10	$220

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. Maine Distribution

Keith Lyons — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,265	2,500	70	$70	$7.2K
99215	489	780	30	$100	$4.8K
99213	2,269	2,350	50	$50	$4.3K
99204	153	810	30	$100	$3.6K
99203	425	620	30	$60	$2.4K
72100	8	120	30	$10	$340
72040	8	30	20	$10	$180

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgton Hospital	ME	Critical Access Hospital	$0	$2.5M
Rumford Hospital	ME	Critical Access Hospital	$0	$2.4M
Daniel Rausch	ME	Hematology & Oncology Physician	$541K	$0
Danielle Stout	ME	Family Nurse Practitioner	$522.1K	$0
Julia Moukharskaya	ME	Hematology & Oncology Physician	$519.1K	$0
Ronen Marmur	NY	Rheumatology Physician	$194.3K	$0
Andrei Zaslavsky	ME	Internal Medicine Physician	$187.1K	$0
Julie Suarez	NH	Internal Medicine Physician	$175.2K	$0
Danielle Pineda	NJ	Vascular Surgery Physician	$174.3K	$0
Jared Tobolski	ME	Cardiovascular Disease Physician	$155.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John F Murphy Homes, Inc.	ME	Nursing Facility/Intermediate Care Facility	$0	$260.1M
Happy Haven, LLC	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$65.3M
Health Affiliates Maine, LLC	ME	Community/Behavioral Health Agency	$0	$61.6M
Opportunity Enterprises, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$47.6M
New Communities, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$26.4M
Bedard Medical Inc	ME	Durable Medical Equipment & Medical Supplies	$0	$24.6M
Personal Onsite Development	ME	Developmentally Disabled Services Day Training Agency	$0	$9M
Community Clinical Services, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$5.2M
New England Home Therapies, Inc.	ME	Oxygen Equipment & Supplies (DME)	$0	$4.2M
Maine Oral & Maxillofacial Surgery Associates, P.A.	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.5M

Keith Lyons — Billing Profile & Reimbursement Data

Sign up for Keith Lyons — Billing Profile & Reimbursement Data policy alerts

Keith Lyons — Billing Profile & Reimbursement Data

Sign up for Keith Lyons — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References