Lutes, Ronald

Lutes, Ronald was paid $12K by Medicaid between Oct 2020 and Jun 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 62% of everything it billed.

33Billing provider infoLUTES, RONALD
MONONGAHELA, PA 15063

33aNPI1265426266assigned 09/06/2005

33bProvider typeNephrology Physician

28Total paid$12K

24GClaims431

24DCodes billed4

24AFirst – last monthOct 2020 – Jun 2024

Compared with peers

Next to other Nephrology Physician providers in Pennsylvania

Rank by total paid#54 of 149

Median peer was paid$5K

This provider vs. median2.6×

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
2020	65	$411.98
2021	145	$2K
2022	64	$2K
2023	140	$7K
2024incomplete	17	$535.90

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	62%	295	129	$7K
99223	Prolong inpt eval add15 m	25%	28	28	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	11%	31	12	$1K
99490	Ccm add 20min	2.5%	77	77	$285.57

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.