Physician
Lenihan, Michael
Lenihan, Michael was paid $79K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider infoLENIHAN, MICHAEL
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1285727792assigned 10/02/2006
33bProvider typeNeurology Physician
28Total paid$79K
24GClaims5,949
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in New York
Rank by total paid#136 of 623
Median peer was paid$9K
This provider vs. median8.5×
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
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 | 671 | $5K | |
| 2019 | 1,546 | $9K | |
| 2020 | 1,062 | $11K | |
| 2021 | 900 | $10K | |
| 2022 | 896 | $15K | |
| 2023 | 505 | $16K | |
| 2024incomplete | 369 | $13K |
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 | 93% | 2,149 | 2,131 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 155 | 154 | $5K |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,105 | 1,096 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,324 | 1,305 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 275 | 273 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 87 | 87 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 12 | 12 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 620 | 612 | $0.00 |
| 1111F | 0% | 209 | 205 | $0.00 | |
| 1101F | 0% | 13 | 13 | $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.