Physician
Semel, Lori
Semel, Lori was paid $176K by Medicaid between Jan 2018 and Sep 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoSEMEL, LORI
MOUNT VERNON, NY 10552
MOUNT VERNON, NY 10552
33aNPI1447215124assigned 04/18/2006
33bProvider typePediatrics Physician
28Total paid$176K
24GClaims4,906
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#596 of 1,983
Median peer was paid$17K
This provider vs. median10×
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 | 693 | $27K | |
| 2019 | 1,232 | $38K | |
| 2020 | 739 | $20K | |
| 2021 | 719 | $22K | |
| 2022 | 628 | $23K | |
| 2023 | 659 | $36K | |
| 2024incomplete | 236 | $10K |
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 | 80% | 2,328 | 1,987 | $142K |
| 92552 | 4.6% | 472 | 452 | $8K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 487 | 479 | $6K |
| 36410 | 2.0% | 304 | 304 | $4K | |
| 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 | 1.8% | 42 | 40 | $3K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.7% | 14 | 14 | $3K |
| 86580 | 1.4% | 329 | 329 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 257 | 256 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | 26 | $2K |
| 92567 | <1% | 127 | 118 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
| 81002 | <1% | 336 | 335 | $551.96 |
5 more codes
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.