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    OpenPayerNPI Medicare & MedicaidMarlyn Lake
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    Marlyn Lake — Billing Profile & Reimbursement Data

    NPI 1952405318 · Macon, GA · Neurology Physician

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    Marlyn Lake is a neurology physician provider located in Macon, Georgia. This profile covers 4 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMarlyn Lake
    Address380 Hospital Dr Ste 370
    CityMacon
    StateGA
    ZIP31217
    TaxonomyNeurology Physician
    NPI EnumeratedSeptember 7, 2006

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

    Payer SourceTotal Paid
    Medicare$37.1K
    Medicaid$0

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth190$150$28.6K
    G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth60$100$5.8K
    G0509Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth10$160$1.9K
    G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth10$60$670

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G050921090$150$13.8K
    G042722030$150$9.8K
    G042632020$100$2.9K
    G040751040$60$2.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Truman Medical Center, IncorporatedMOGeneral Acute Care Hospital$0$233.8M
    Truman Medical Center, IncorporatedMOGeneral Acute Care Hospital$0$72.7M
    Truman Medical Center, IncorporatedMOCommunity/Behavioral Health Agency$0$37.8M
    Saint Luke's Physician Group IncMOFamily Medicine Physician$0$15M
    Truman Medical Center, IncorporatedMOOtolaryngology Physician$0$14.1M
    Truman Medical Center IncorporatedMOBody Imaging Physician$0$4.6M
    Truman Medical Center IncorporatedMOCommunity/Behavioral Health Agency$0$4.6M
    Himanshu ShuklaAZClinical Cardiac Electrophysiology Physician$1.9M$0
    Julio SanguilyFLVascular Surgery Physician$1.5M$0
    William WinnMNDiagnostic Radiology Physician$997.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Song-chu KoGARadiation Oncology Physician$778.8K$0
    David KentGAMOHS-Micrographic Surgery Physician$601.5K$0
    Charles OgburnGAInternal Medicine Physician$580.1K$0
    David CohenGADermatology Physician$557.7K$0
    James UpshawGAInternal Medicine Physician$515K$0
    Mary MckinleyGAInternal Medicine Physician$506.8K$0
    Farhan SiddiquiGAInternal Medicine Physician$502.5K$0
    Carlos MartinezGANephrology Physician$436.5K$0
    Thomas MeyerGACardiovascular Disease Physician$360.3K$0
    Frank YoungGAInternal Medicine Physician$358.7K$0

    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. Georgia Distribution
    Marlyn Lake — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia