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    OpenPayerNPI Medicare & MedicaidAndrew Lambert
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    Andrew Lambert — Billing Profile & Reimbursement Data

    NPI 1942413026 · Springfield, IL · Vascular Surgery Physician

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    Andrew Lambert is a vascular surgery physician provider located in Springfield, Illinois. This profile covers 20 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Lambert
    Address800 N 1st St
    CitySpringfield
    StateIL
    ZIP62702
    TaxonomyVascular Surgery Physician
    NPI EnumeratedMay 7, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$91.4K
    Medicaid$1.7K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…180$120$21.1K
    99214The 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…150$90$13.8K
    99213The 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…190$60$12.1K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…110$60$5.9K
    99232The 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…90$60$5.2K
    99223The 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$140$5.1K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…30$180$4.9K
    99204The 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$120$3.8K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…50$60$3.3K
    93926The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…40$60$2.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,70418,540110$80$17.1K
    992324,1537,96090$60$12.4K
    992233,5596,19050$140$10.4K
    992155,0286,24040$120$10.1K
    992133,91417,39070$60$8.8K
    992052,4482,73030$160$5.7K
    938807674040$80$5.6K
    992044,2168,58030$110$5.6K
    9397018591040$60$4.5K
    939788513030$90$4.5K

    Showing 1–10 of 20

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…100$10$1.1K
    99214The 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…10$50$640

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…13,83114,680300$50$48.7K
    99213The 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…9,69414,190280$20$38.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carlinville Area Hospital AssociationILRural Health Clinic/Center$0$2.9M
    Nileshkumar PatelILInterventional Cardiology Physician$415.3K$132.8K
    Muhammad KhanILInterventional Cardiology Physician$321.5K$211.5K
    Bhuvnesh AggarwalILInterventional Cardiology Physician$318.3K$205.3K
    Sunil AgarwalILInterventional Cardiology Physician$340.9K$146.5K
    Aaron GreenspanMOGastroenterology Physician$44.5K$145.4K
    Robert NadlerILUrology Physician$144.7K$2K
    William ThomILPain Medicine (Anesthesiology) Physician$78.2K$42.5K
    Wassim Radwan Abd El WahabTXInternal Medicine Physician$96.8K$0
    Brian HillMOCertified Registered Nurse Anesthetist$47.7K$11K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mental Health Centers Of Central IllinoisILMental Health Clinic/Center (Including Community Mental Health Center)$0$38.4M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$25.7M
    Zhenqiang GaoILAnatomic Pathology & Clinical Pathology Physician$67.5K$19.5M
    Advanced Medical Transport Of Springfield IncILAmbulance$879.6K$8.4M
    Memorial Home Services Of Central Illinois, IncILDurable Medical Equipment & Medical Supplies$0$8.9M
    Lifestar Ambulance Service, Inc.ILAmbulance$249.2K$5.6M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$4.5M
    Timothy GillisonILHematology & Oncology Physician$1.7M$54.1K
    Scott MinkILHematology & Oncology Physician$1.6M$60.3K
    Amit GuptaILHematology & Oncology Physician$1.5M$9.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Andrew Lambert — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Andrew Lambert — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois