Lambiase, Frances

Lambiase, Frances was paid $6K by Medicaid between Mar 2023 and Sep 2024, across 5 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 43% of everything it billed.

33Billing provider infoLAMBIASE, FRANCES
HORSEHEADS, NY 14845

33aNPI1154907533assigned 03/24/2021

33bProvider typeAdult Health Nurse Practitioner

28Total paid$6K

24GClaims2,212

24DCodes billed5

24AFirst – last monthMar 2023 – Sep 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in New York

Rank by total paid#222 of 559

Median peer was paid$4K

This provider vs. median1.8×

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
2023	1,509	$1K
2024incomplete	703	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99310	Prolong nursin fac eval 15m	43%	1,035	685	$3K
99308	Subsequent nursing facility care, per day, straightforward	32%	196	176	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	21%	322	259	$1K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)	2.9%	602	454	$185.04
99307		1.5%	57	57	$98.12

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.