Lanzone, Theresa

Lanzone, Theresa was paid $212K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoLANZONE, THERESA
LONG BEACH, NY 11561

33aNPI1063596898assigned 10/25/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$212K

24GClaims5,839

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New York

Rank by total paid#69 of 161

Median peer was paid$100K

This provider vs. median2.1×

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	358	$15K
2019	821	$20K
2020	896	$23K
2021	789	$34K
2022	1,088	$49K
2023	952	$36K
2024incomplete	935	$36K

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	92%	2,715	2,181	$195K
90460	Immunization administration through 18 years of age via any route, first or only component	5.9%	798	720	$13K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	65	63	$2K
92587		<1%	44	43	$1K
81000		<1%	194	190	$658.48
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	48	42	$208.41
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	15	15	$200.64
36415	Collection of venous blood by venipuncture	<1%	445	430	$194.56
90686		<1%	92	92	$188.36
99173		<1%	197	193	$117.96
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	38	38	$99.18
99000		0%	1,188	1,079	$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.