Lavalley, Rebecca

Lavalley, Rebecca was paid $21K by Medicaid between Aug 2019 and Aug 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoLAVALLEY, REBECCA
UTICA, NY 13502

33aNPI1356600449assigned 05/09/2012

33bProvider typeFamily Medicine Physician

28Total paid$21K

24GClaims1,103

24DCodes billed6

24AFirst – last monthAug 2019 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,030 of 2,605

Median peer was paid$10K

This provider vs. median2.1×

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
2019	172	$5K
2020	311	$4K
2021	241	$5K
2022	200	$4K
2023	96	$2K
2024incomplete	83	$2K

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	76%	897	877	$16K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.2%	65	65	$2K
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	8.1%	47	47	$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	5.5%	60	56	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.0%	19	18	$413.14
99442		<1%	15	14	$133.85

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.