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

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

Lilia Lynch (NPI 1912475872)

Field	Value
Entity Type	Individual
Organization	Lilia Lynch
Address	133 Biradan Anakko
City	Dededo
State	GU
ZIP	96929
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 8, 2018

Payer Source	Total Paid
Medicare	$51.6K
Medicaid	$0

Key Findings

This provider’s Medicare activity is small in absolute terms with Total Medicare revenue of $51.6K and no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in the data set. The lack of any Medicaid billing creates a concentrated payer mix and means Medicaid-specific contracting or utilization patterns are not observable for this NPI.

Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 90.3% of this provider's total Medicare revenue. Those three codes are 99232 ($22.4K, 43.4% of Medicare revenue), 99233 ($14.1K, 27.3% of Medicare revenue), and 90960 ($10.2K, 19.7% of Medicare revenue), indicating very limited revenue diversification outside these services.

The code mix points to an inpatient-focused and ESRD-oriented service profile: 99232 and 99233 are subsequent hospital inpatient/observation E/M visits and 90960 is monthly ESRD management for patients on dialysis. Together these codes suggest the provider’s revenue driver is hospital-based E/M work plus face-to-face ESRD monthly care, consistent with clinicians who split time between inpatient settings and ESRD patient management.

Competitive standing is mixed across the top codes. For 99232 the provider ranks #20395 of 177383 (88th percentile) but the descriptor is “typical, unremarkable volume for this code,” indicating the provider bills more often than many peers but is not an outlier; 99233 ranks #37037 of 128818 (71th percentile) with the same “typical, unremarkable volume for this code” characterization; by contrast, 90960 ranks #5943 of 6549 (9th percentile) and is described as “typical, unremarkable volume for this code,” placing the provider near the lower end of national ESRD managers in the sample.

Top-code operational detail reinforces the clinical picture: the provider reported 408 claims for 99232 at $55 avg paid/claim, 172 claims for 99233 at $82 avg paid/claim, and 42 claims for 90960 at $242 avg paid/claim. The higher average payment for 90960 compared with the inpatient E/M codes indicates ESRD monthly management is paid at a materially higher rate per encounter, even though it represents a smaller claim volume.

The provider also bills discharge-day management codes at modest levels (99239: 45 claims, $80 avg paid/claim, $3.6K revenue, 7.0%; 99238: 25 claims, $56 avg paid/claim, $1.4K revenue, 2.7%). These secondary codes further support an inpatient discharge and follow-up orientation but remain small contributors relative to the top three codes.

From a contracting and revenue-risk perspective, the tight concentration in a few Medicare codes (90.3% of Medicare revenue from the top three) and no Medicaid revenue on file imply sensitivity to rate or utilization changes for inpatient E/M and ESRD services. Payers or networks evaluating this provider should note the limited revenue diversity and the reliance on a small set of service lines when assessing risk and negotiating terms.

The NPI was enumerated on 2018-11-08 (~8 years ago), indicating several years of recorded Medicare activity but not a long historical footprint; tenure is sufficient to observe a consistent pattern of inpatient and ESRD billing rather than a single-year anomaly.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	410	$60	$22.4K
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…	170	$80	$14.1K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	40	$240	$10.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	50	$80	$3.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	30	$60	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Lilia Lynch — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	5	10	290	$260	$74.4K
99233	6	20	130	$90	$16.5K
99232	4	30	150	$60	$12.1K
99239	11	20	50	$90	$4.8K
99238	4	10	30	$60	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Lilia Lynch — 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

Nearby Providers

Frequently Asked Questions

References