Lumley, Sarah

Lumley, Sarah was paid $30K by Medicaid between Nov 2020 and Nov 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoLUMLEY, SARAH
CONNELLSVILLE, PA 15425

33aNPI1407856891assigned 07/28/2005

33bProvider typeFamily Medicine Physician

28Total paid$30K

24GClaims869

24DCodes billed5

24AFirst – last monthNov 2020 – Nov 2021

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,167 of 2,756

Median peer was paid$19K

This provider vs. median1.6×

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
2020	205	$7K
2021	664	$23K

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	49%	392	390	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	381	366	$12K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	66	66	$3K
0002A		1.8%	13	13	$528.00
91300		0%	17	16	$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.