Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › LOWELL › LGH MEDICAL GROUP, INC.

LGH MEDICAL GROUP, INC.

NPI: 1174698385 · LOWELL, MA 01854 · Family Medicine Physician · NPI assigned 11/22/2006

$5.75M
Total Medicaid Paid
155,930
Total Claims
146,940
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEIGH, SANDRA (DIRECTOR, PRACTICE OPERATIONS)
NPI Enumeration Date11/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,258 $1.00M
2019 21,785 $897K
2020 21,023 $879K
2021 20,386 $800K
2022 19,160 $828K
2023 23,962 $598K
2024 25,356 $743K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55,636 53,287 $2.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,057 49,218 $2.05M
99222 Initial hospital care, per day, moderate complexity 3,903 3,822 $193K
99232 Subsequent hospital care, per day, moderate complexity 3,609 1,890 $98K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,642 2,291 $78K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,808 3,792 $77K
99284 Emergency department visit for the evaluation and management, high severity 700 645 $71K
90792 Psychiatric diagnostic evaluation with medical services 948 919 $58K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 709 706 $53K
J0585 Injection, onabotulinumtoxina, 1 unit 140 84 $49K
99283 Emergency department visit for the evaluation and management, moderate severity 906 605 $46K
99215 Prolong outpt/office vis 696 653 $35K
90791 Psychiatric diagnostic evaluation 300 299 $31K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 486 486 $25K
76801 389 370 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 442 442 $23K
76830 Ultrasound, transvaginal 363 363 $22K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 211 210 $20K
99223 Prolong inpt eval add15 m 376 370 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity 955 503 $19K
90686 1,737 1,724 $19K
99221 328 321 $13K
95886 191 189 $13K
94060 1,992 1,987 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,030 1,018 $11K
83036 Hemoglobin; glycosylated (A1C) 2,563 2,508 $11K
95251 799 784 $10K
94727 1,647 1,642 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 305 287 $9K
99205 Prolong outpt/office vis 91 91 $9K
94729 1,655 1,649 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 410 374 $6K
80305 860 723 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 62 62 $5K
90834 Psychotherapy, 45 minutes with patient 63 54 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 74 74 $5K
95816 185 183 $4K
76536 92 78 $4K
90688 288 287 $4K
82962 3,106 3,018 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 47 46 $3K
96127 709 685 $3K
97803 166 165 $3K
59025 Fetal non-stress test 86 80 $3K
82947 1,614 1,585 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24 24 $2K
62323 30 30 $2K
90472 Immunization administration, each additional vaccine (list separately) 99 99 $2K
51798 550 539 $2K
94010 162 152 $2K
95911 29 29 $2K
99238 Hospital discharge day management, 30 minutes or less 38 38 $2K
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) 541 528 $2K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 73 73 $2K
81003 1,624 1,597 $1K
99233 Prolong inpt eval add15 m 45 37 $1K
82948 543 539 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $1K
95819 52 51 $1K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 36 35 $886.52
64615 12 12 $807.38
99497 81 68 $772.80
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 93 92 $760.11
97802 12 12 $721.46
81001 366 349 $619.66
90460 Immunization administration through 18 years of age via any route, first or only component 37 25 $605.97
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 54 54 $603.25
0071A 13 13 $596.31
99282 Emergency department visit for the evaluation and management, low to moderate severity 23 14 $477.66
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 30 $376.54
70450 Computed tomography, head or brain; without contrast material 15 15 $364.98
99281 Emergency department visit for the evaluation and management, self-limited or minor 41 26 $351.30
71046 Radiologic examination, chest; 2 views 59 59 $310.21
81002 558 538 $240.95
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 58 57 $232.26
G0008 Administration of influenza virus vaccine 210 206 $193.18
94664 52 51 $130.83
94760 355 346 $73.73
71045 Radiologic examination, chest; single view 12 12 $70.46
99406 74 73 $66.15
94761 130 129 $46.70
82044 12 12 $36.01
90662 26 26 $33.30
36415 Collection of venous blood by venipuncture 301 298 $17.91
81015 13 13 $0.61
90656 19 19 $0.00
91307 13 13 $0.00
J2315 Injection, naltrexone, depot form, 1 mg 15 14 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00