Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Frank Lyons DO, PSC

Frank Lyons DO, PSC was paid $205K by Medicaid between Jan 2018 and Oct 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoFRANK LYONS DO, PSC
OLIVE HILL, KY 41164
33aNPI1346440062assigned 07/20/2007
33bProvider typeAdult Medicine Physician
28Total paid$205K
24GClaims6,215
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Adult Medicine Physician providers in Kentucky

Rank by total paid#4 of 7
Median peer was paid$205K
This provider vs. median1.0×

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$10K2018201920202021202220232024
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
20181,431$45K
20191,739$56K
20202,183$71K
2021817$30K
202245$2K
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 91% 5,025 2,976 $187K
80305 5.5% 956 866 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 86 71 $2K
99441 <1% 44 41 $2K
99442 <1% 30 26 $2K
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 <1% 18 13 $632.17
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 26 26 $270.87
36415 Collection of venous blood by venipuncture <1% 30 26 $122.15

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 officialDEERE, ROBIN (BILLING MGR)