Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Khoury, Lily

Khoury, Lily was paid $13K by Medicaid between May 2018 and Dec 2022, across 8 billing codes. Its largest line is 96127, — 26% of everything it billed.

33Billing provider infoKHOURY, LILY
FAIRHAVEN, MA 02719
33aNPI1225065121assigned 06/27/2006
33bProvider typePediatrics Physician
28Total paid$13K
24GClaims787
24DCodes billed8
24AFirst – last monthMay 2018 – Dec 2022
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#771 of 1,273
Median peer was paid$24K
This provider vs. median0.5×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018157$2K
2019180$5K
202096$1K
2021184$3K
2022170$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96127 26% 255 234 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 44 43 $2K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 17% 235 235 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 15% 72 58 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11% 120 101 $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 7.9% 12 12 $1K
92551 2.6% 37 37 $338.07
92552 2.4% 12 12 $311.04

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.