Lax, Douglas

Lax, Douglas was paid $22K by Medicaid between Oct 2019 and Oct 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 38% of everything it billed.

33Billing provider infoLAX, DOUGLAS
ROCKVILLE CENTRE, NY 11570

33aNPI1093790800assigned 12/14/2005

33bProvider typeNephrology Physician

28Total paid$22K

24GClaims1,736

24DCodes billed6

24AFirst – last monthOct 2019 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#255 of 559

Median peer was paid$18K

This provider vs. median1.3×

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
2019	54	$336.03
2020	344	$6K
2021	277	$4K
2022	355	$4K
2023	344	$3K
2024incomplete	362	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	38%	716	390	$8K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	33%	215	214	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	17%	680	372	$4K
99223	Prolong inpt eval add15 m	5.8%	61	60	$1K
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	3.5%	39	38	$770.45
90961		2.5%	25	25	$550.04

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.