Clinic
Lifeplex Medical INC
Lifeplex Medical INC was paid $365K by Medicaid between Jan 2018 and Dec 2020, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
33Billing provider infoLIFEPLEX MEDICAL INC
PLYMOUTH, IN 46563
PLYMOUTH, IN 46563
33aNPI1114449238assigned 07/11/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$365K
24GClaims15,444
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Urgent Care Clinic/Center providers in Indiana
Rank by total paid#14 of 27
Median peer was paid$365K
This provider vs. median1.0×
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 | 5,304 | $80K | |
| 2019 | 5,125 | $138K | |
| 2020 | 5,015 | $148K |
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 | 85% | 9,334 | 7,264 | $309K |
| 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 | 6.3% | 636 | 557 | $23K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.5% | 550 | 495 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.4% | 1,184 | 919 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 993 | 637 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 183 | 140 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,476 | 1,300 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 265 | 237 | $919.45 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | 25 | $293.51 |
| 90686 | <1% | 30 | 28 | $219.31 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 12 | $172.59 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 32 | 29 | $140.88 |
4 more codes
| 81003 | <1% | 56 | $54.33 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 401 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 249 | $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.
From NPPES
Who's on the registration
Authorized officialHOLM, BYRON (MD)
| Provider | Location | Paid |
|---|---|---|
| Holm Medical Clinic INC | Plymouth, IN | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.