Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MD › Hagerstown › NPI 1245260355
NP / PA

Lum, Teresa

Lum, Teresa was paid $202K by Medicaid between Jul 2018 and May 2022, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoLUM, TERESA
HAGERSTOWN, MD 21740
33aNPI1245260355assigned 07/04/2006
28Total paid$202K
24GClaims2,980
24DCodes billed13
24AFirst – last monthJul 2018 – May 2022
Compared with peers

Next to other Pediatric Nurse Practitioner providers in Maryland

Rank by total paid#4 of 20
Median peer was paid$14K
This provider vs. median15×

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$5.0K$10K$15K2018201920202021202220232024
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
201821$523.32
20201,303$81K
20211,237$85K
2022419$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 1,236 1,110 $100K
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 41% 769 745 $84K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.3% 46 46 $5K
90686 1.7% 154 153 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 328 322 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 16 16 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 12 12 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 12 $1K
D1206 Topical application of fluoride varnish <1% 47 43 $1K
99173 <1% 263 259 $671.94
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 31 22 $565.88
96127 <1% 52 52 $240.21
1 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 $183.96

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.