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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Lisa Hayes (NPI 1972707164)

Field	Value
Entity Type	Individual
Organization	Lisa Hayes
Address	375 Mount Pleasant Ave
City	West Orange
State	NJ
ZIP	07052
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 12, 2007

Payer Source	Total Paid
Medicare	$8.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	50	$50	$2.3K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	40	$50	$2K
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…	20	$80	$1.5K
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…	10	$90	$1.2K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	20	$30	$540
87511	The lab analyst performs a test for Gardnerella vaginalis using amplified nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the vagina that…	20	$30	$540
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	20	$30	$540
87088	The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.	10	$10	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Lisa Hayes — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87481	44	50	100	$30	$60.3K
87661	18	20	20	$30	$38.6K
99214	13,323	13,640	130	$90	$23.6K
87511	9	20	20	$30	$17.1K
99213	12,844	14,090	100	$70	$13.1K
87088	370	390	40	$10	$6.6K
G0101	300	720	40	$40	$2.6K
Q0091	187	490	30	$50	$2.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barnabas Health Medical Group, PC	NJ	Specialist	$0	$39.6M
Anchor Behavioral Solutions LLC	NJ	Community/Behavioral Health Agency	$0	$27.2M
Vna Health Group Of New Jersey, LLC	NJ	Community Based Hospice Care Agency	$0	$24.5M
Premie Home Health Care Services, Inc.	NJ	Home Health Agency	$0	$12.5M
Mental Health Assn Of Essex And Morris	NJ	Case Management Agency	$0	$10.6M
Vna Health Group Of New Jersey, LLC	NJ	Home Health Agency	$0	$10.6M
Kessler Institute For Rehabilitation Inc	NJ	Rehabilitation Hospital	$0	$10.2M
Rwjbh Primary Care Services	NJ	Internal Medicine Physician	$0	$8.6M
West Orange Board Of Education	NJ	Local Education Agency (LEA)	$0	$8.2M
Maxim Healthcare Services, Inc.	NJ	Home Health Agency	$0	$8.1M

Lisa Hayes — Billing Profile & Reimbursement Data

Sign up for Lisa Hayes — Billing Profile & Reimbursement Data policy alerts

Lisa Hayes — Billing Profile & Reimbursement Data

Sign up for Lisa Hayes — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References