LGH Medical Group, INC.

LGH Medical Group, INC. was paid $5.75M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoLGH MEDICAL GROUP, INC.
LOWELL, MA 01854

33aNPI1174698385assigned 11/22/2006

33bProvider typeFamily Medicine Physician

28Total paid$5.75M

24GClaims155,930

24DCodes billed89

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#6 of 744

Median peer was paid$10K

This provider vs. median549×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	44%	55,636	53,287	$2.54M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	52,057	49,218	$2.05M
99222	Initial hospital care, per day, moderate complexity	3.4%	3,903	3,822	$193K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.7%	3,609	1,890	$98K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	1.4%	2,642	2,291	$78K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.3%	3,808	3,792	$77K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	1.2%	700	645	$71K
90792	Psychiatric diagnostic evaluation with medical services	1.0%	948	919	$58K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	709	706	$53K
J0585	Injection, onabotulinumtoxina, 1 unit	<1%	140	84	$49K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	906	605	$46K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	696	653	$35K

77 more codes

90791	Psychiatric diagnostic evaluation	<1%	300	$31K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	486	$25K
76801		<1%	389	$24K
99203	Doctor's office visit, new patient (routine)	<1%	442	$23K
76830	Ultrasound, transvaginal	<1%	363	$22K
99285	Emergency room visit (most serious)	<1%	211	$20K
99223	Prolong inpt eval add15 m	<1%	376	$19K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	955	$19K
90686		<1%	1,737	$19K
99221		<1%	328	$13K
95886		<1%	191	$13K
94060		<1%	1,992	$12K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	1,030	$11K
83036	Hemoglobin; glycosylated (A1C)	<1%	2,563	$11K
95251		<1%	799	$10K
94727		<1%	1,647	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	305	$9K
99205	Prolong outpt/office vis	<1%	91	$9K
94729		<1%	1,655	$7K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	410	$6K
80305		<1%	860	$6K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	62	$5K
90834	Psychotherapy session, about 45 minutes	<1%	63	$5K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	74	$5K
95816		<1%	185	$4K
76536		<1%	92	$4K
90688		<1%	288	$4K
82962		<1%	3,106	$4K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	47	$3K
96127		<1%	709	$3K
97803		<1%	166	$3K
59025	Fetal non-stress test	<1%	86	$3K
82947		<1%	1,614	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	24	$2K
62323		<1%	30	$2K
90472	Immunization administration, each additional vaccine (list separately)	<1%	99	$2K
51798		<1%	550	$2K
94010		<1%	162	$2K
95911		<1%	29	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	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)	<1%	541	$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	<1%	73	$2K
81003		<1%	1,624	$1K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	45	$1K
82948		<1%	543	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	12	$1K
95819		<1%	52	$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	<1%	36	$886.52
64615		<1%	12	$807.38
99497		<1%	81	$772.80
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	93	$760.11
97802		<1%	12	$721.46
81001		<1%	366	$619.66
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	37	$605.97
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	54	$603.25
0071A		<1%	13	$596.31
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	23	$477.66
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	30	$376.54
70450	Computed tomography, head or brain; without contrast material	<1%	15	$364.98
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	41	$351.30
71046	Radiologic examination, chest; 2 views	<1%	59	$310.21
81002		<1%	558	$240.95
G0109	Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes	<1%	58	$232.26
G0008	Administration of influenza virus vaccine	<1%	210	$193.18
94664		<1%	52	$130.83
94760		<1%	355	$73.73
71045	Radiologic examination, chest; single view	<1%	12	$70.46
99406		<1%	74	$66.15
94761		<1%	130	$46.70
82044		<1%	12	$36.01
90662		<1%	26	$33.30
36415	Collection of venous blood by venipuncture	<1%	301	$17.91
81015		<1%	13	$0.61
90656		0%	19	$0.00
91307		0%	13	$0.00
J2315	Injection, naltrexone, depot form, 1 mg	0%	15	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	12	$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 officialLEIGH, SANDRA (DIRECTOR, PRACTICE OPERATIONS)