Ly, Micki

Ly, Micki was paid $386K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 17004, — 45% of everything it billed.

33Billing provider infoLY, MICKI
KAHULUI, HI 96732

33aNPI1346299435assigned 05/08/2006

33bProvider typeProcedural Dermatology Physician

28Total paid$386K

24GClaims8,205

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

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	1,167	$49K
2019	1,288	$64K
2020	1,050	$58K
2021	1,288	$58K
2022	1,483	$67K
2023	1,084	$46K
2024incomplete	845	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
17004		45%	2,771	1,848	$172K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	3,475	2,238	$115K
17110		19%	1,358	845	$74K
11102		3.3%	338	245	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	154	138	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	81	54	$1K
11100		<1%	13	12	$687.05
11103		<1%	15	13	$344.61

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.