Lubsey Medical Clinic INC
Lubsey Medical Clinic INC was paid $1.05M by Medicaid between Jan 2018 and Apr 2023, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoLUBSEY MEDICAL CLINIC INC
MILWAUKEE, WI 53218
MILWAUKEE, WI 53218
33aNPI1316336795assigned 01/22/2015
33bProvider typeSpecialist
28Total paid$1.05M
24GClaims77,437
24DCodes billed56
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Specialist providers in Wisconsin
Rank by total paid#4 of 37
Median peer was paid$19K
This provider vs. median56×
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 | 14,860 | $292K | |
| 2019 | 15,642 | $223K | |
| 2020 | 16,271 | $201K | |
| 2021 | 19,620 | $164K | |
| 2022 | 9,585 | $129K | |
| 2023 | 1,459 | $41K |
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 | 71% | 19,965 | 13,977 | $744K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 2,538 | 1,873 | $66K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.7% | 1,213 | 999 | $60K |
| 99442 | 3.9% | 2,912 | 1,901 | $41K | |
| 94010 | 2.7% | 1,106 | 864 | $28K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 1,121 | 852 | $16K |
| 80305 | 1.5% | 1,672 | 917 | $15K | |
| 94664 | 1.0% | 1,215 | 980 | $11K | |
| 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% | 133 | 120 | $10K |
| 99354 | <1% | 169 | 109 | $10K | |
| 81025 | <1% | 1,402 | 1,028 | $9K | |
| 96127 | <1% | 2,280 | 1,656 | $5K |
44 more codes
| 99406 | <1% | 2,363 | $5K | |
| 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% | 1,205 | $5K |
| 81002 | <1% | 2,231 | $4K | |
| 99443 | <1% | 132 | $4K | |
| 90686 | <1% | 234 | $3K | |
| 82962 | <1% | 1,973 | $3K | |
| 3008F | <1% | 7,169 | $2K | |
| 94760 | <1% | 6,187 | $1K | |
| 99422 | <1% | 79 | $1K | |
| 99000 | <1% | 415 | $1K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 915 | $1K |
| 99173 | <1% | 76 | $751.82 | |
| 0002A | <1% | 16 | $619.27 | |
| 90688 | <1% | 42 | $606.82 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $582.20 |
| 92551 | <1% | 84 | $573.93 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 25 | $556.82 |
| 99441 | <1% | 53 | $477.64 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 54 | $439.79 |
| 93000 | <1% | 27 | $384.27 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $379.14 |
| 0124A | <1% | 17 | $348.02 | |
| 99072 | <1% | 539 | $263.28 | |
| 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% | 53 | $257.82 |
| 0001A | <1% | 19 | $256.25 | |
| 90658 | <1% | 18 | $232.69 | |
| 99401 | <1% | 102 | $179.62 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 2,532 | $149.59 |
| 36415 | Collection of venous blood by venipuncture | <1% | 702 | $136.64 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 220 | $110.51 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $44.83 |
| 1000F | <1% | 2,541 | $0.05 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,403 | $0.02 |
| 3079F | <1% | 2,072 | $0.01 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 437 | $0.00 |
| 3077F | 0% | 1,734 | $0.00 | |
| 1160F | 0% | 323 | $0.00 | |
| 3078F | 0% | 1,154 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 74 | $0.00 |
| 99071 | 0% | 44 | $0.00 | |
| 3074F | 0% | 1,506 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 670 | $0.00 |
| 3075F | 0% | 1,100 | $0.00 | |
| 3080F | 0% | 1,100 | $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 officialODEH, KHALIL (OWNER)