Lightman, Hylton

Lightman, Hylton was paid $42K by Medicaid between Jan 2018 and Oct 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoLIGHTMAN, HYLTON
FAR ROCKAWAY, NY 11691

33aNPI1043375728assigned 12/24/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$42K

24GClaims1,341

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New York

Rank by total paid#89 of 161

Median peer was paid$100K

This provider vs. median0.4×

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

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

Year	Claims	Paid
2018	370	$11K
2019	474	$14K
2020	436	$14K
2021	14	$904.93
2023	47	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	79%	673	535	$33K
D1206	Topical application of fluoride varnish	10%	201	201	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	7.4%	162	158	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.0%	107	94	$820.44
99401		<1%	40	40	$245.66
90686		<1%	130	128	$202.23
87070		<1%	28	25	$105.38

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.