Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lyons, James

Lyons, James was paid $21K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoLYONS, JAMES
POUGHKEEPSIE, NY 12601
33aNPI1053306183assigned 09/14/2005
28Total paid$21K
24GClaims3,252
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#678 of 1,564
Median peer was paid$13K
This provider vs. median1.6×

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$1.0K$2.0K2018201920202021202220232024
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
2018193$872.84
2019294$640.07
2020606$2K
2021614$5K
2022539$4K
2023471$3K
2024incomplete535$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 66% 575 560 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24% 2,458 2,120 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9.7% 159 158 $2K
93000 <1% 12 12 $33.36
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 48 48 $0.00

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.