Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Langhorne › NPI 1023125069
Physician

Ducker, Lisa

Ducker, Lisa was paid $267K by Medicaid between Jan 2021 and Nov 2024, across 6 billing codes. Its largest line is 99340, — 63% of everything it billed.

33Billing provider infoDUCKER, LISA
LANGHORNE, PA 19047
33aNPI1023125069assigned 08/24/2006
28Total paid$267K
24GClaims2,473
24DCodes billed6
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#273 of 2,756
Median peer was paid$19K
This provider vs. median14×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2021656$72K
2022533$83K
2023724$65K
2024incomplete560$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99340 63% 1,005 1,001 $167K
99491 Ccm add 20min 20% 573 571 $55K
99437 14% 563 563 $38K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.2% 126 117 $6K
99499 <1% 98 92 $2K
94761 <1% 108 94 $65.44

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.