NP / PA
Lum, Tszhoderrick
Lum, Tszhoderrick was paid $1.15M by Medicaid between May 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoLUM, TSZHODERRICK
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
33aNPI1346657103assigned 07/14/2014
33bProvider typeFamily Nurse Practitioner
28Total paid$1.15M
24GClaims35,587
24DCodes billed64
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New York
Rank by total paid#9 of 1,582
Median peer was paid$2K
This provider vs. median500×
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 | 301 | $22K | |
| 2019 | 8,999 | $289K | |
| 2020 | 17,782 | $532K | |
| 2021 | 5,714 | $198K | |
| 2022 | 14 | $1K | |
| 2023 | 71 | $601.44 | |
| 2024incomplete | 2,706 | $105K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 8,097 | 6,362 | $582K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 3,748 | 3,209 | $169K |
| 99442 | 6.8% | 1,203 | 1,101 | $78K | |
| 99443 | 4.7% | 589 | 574 | $54K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 366 | 366 | $39K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 2,015 | 1,872 | $35K |
| 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 | 2.4% | 289 | 253 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 276 | 276 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 289 | 289 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 111 | 110 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 121 | 121 | $13K |
| 90756 | <1% | 382 | 382 | $10K |
52 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 838 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 666 | $9K |
| 90461 | <1% | 272 | $9K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 99 | $9K |
| H0001 | Alcohol and/or drug assessment | <1% | 686 | $6K |
| 92551 | <1% | 347 | $4K | |
| 93000 | <1% | 429 | $4K | |
| 90651 | <1% | 73 | $3K | |
| 36410 | <1% | 889 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 666 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 183 | $2K |
| 83013 | <1% | 55 | $2K | |
| 99051 | <1% | 487 | $2K | |
| 90674 | <1% | 48 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $892.74 |
| 90686 | <1% | 1,023 | $834.99 | |
| 86580 | <1% | 97 | $802.95 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 64 | $798.56 |
| 92552 | <1% | 24 | $693.18 | |
| 0012A | <1% | 19 | $682.99 | |
| 0011A | <1% | 15 | $529.19 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,394 | $498.78 |
| 83655 | <1% | 28 | $321.40 | |
| 83014 | <1% | 53 | $260.03 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 805 | $108.00 |
| 99173 | <1% | 354 | $105.62 | |
| 81001 | <1% | 84 | $77.24 | |
| 96127 | <1% | 295 | $75.39 | |
| 85018 | <1% | 40 | $67.46 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $24.86 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 576 | $20.00 |
| 99000 | <1% | 2,424 | $0.02 | |
| 4293F | 0% | 621 | $0.00 | |
| 1000F | 0% | 767 | $0.00 | |
| 90744 | 0% | 28 | $0.00 | |
| 1036F | 0% | 682 | $0.00 | |
| 3008F | 0% | 985 | $0.00 | |
| 3049F | 0% | 31 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 339 | $0.00 |
| 90656 | 0% | 52 | $0.00 | |
| 3016F | 0% | 490 | $0.00 | |
| 3725F | 0% | 755 | $0.00 | |
| 99401 | 0% | 29 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 32 | $0.00 |
| 3050F | 0% | 51 | $0.00 | |
| 90734 | 0% | 46 | $0.00 | |
| 80061 | Lipid panel | 0% | 15 | $0.00 |
| 90710 | 0% | 12 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 99080 | 0% | 51 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 14 | $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.