Physician
Lentz Pediatrics, PLC
Lentz Pediatrics, PLC was paid $4.86M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoLENTZ PEDIATRICS, PLC
LEXINGTON, TN 38351
LEXINGTON, TN 38351
33aNPI1467637611assigned 01/07/2008
33bProvider typePediatrics Physician
28Total paid$4.86M
24GClaims173,030
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#24 of 333
Median peer was paid$139K
This provider vs. median35×
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 | 22,419 | $626K | |
| 2019 | 25,984 | $740K | |
| 2020 | 26,196 | $706K | |
| 2021 | 27,534 | $770K | |
| 2022 | 24,757 | $714K | |
| 2023 | 26,509 | $744K | |
| 2024incomplete | 19,631 | $555K |
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 | 25% | 30,097 | 27,245 | $1.21M |
| 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 | 19% | 14,895 | 13,814 | $917K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 14,842 | 13,439 | $662K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 7,812 | 7,257 | $528K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 6,664 | 6,102 | $412K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.3% | 24,098 | 22,392 | $255K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 2,834 | 2,560 | $188K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 11,657 | 10,849 | $127K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 2,920 | 2,713 | $87K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 2,605 | 2,368 | $64K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 2,588 | 2,072 | $63K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 1,587 | 1,507 | $57K |
48 more codes
| 87807 | <1% | 4,206 | $41K | |
| 96161 | <1% | 2,720 | $40K | |
| 97802 | <1% | 3,250 | $34K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 384 | $29K |
| 99381 | <1% | 316 | $23K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,503 | $23K |
| 99245 | <1% | 95 | $15K | |
| 99173 | <1% | 3,076 | $15K | |
| 92587 | <1% | 318 | $15K | |
| 96160 | <1% | 748 | $9K | |
| 92551 | <1% | 1,030 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 86 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 475 | $6K |
| 90461 | <1% | 10,618 | $3K | |
| 96127 | <1% | 748 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $3K |
| 90670 | <1% | 4,805 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 94 | $2K |
| 90680 | <1% | 2,919 | $2K | |
| 90651 | <1% | 138 | $1K | |
| 90697 | <1% | 1,012 | $1K | |
| 90677 | <1% | 727 | $1K | |
| 99441 | <1% | 46 | $889.75 | |
| 90671 | <1% | 456 | $785.78 | |
| 99442 | <1% | 21 | $667.94 | |
| 90716 | <1% | 368 | $562.44 | |
| 90686 | <1% | 2,132 | $525.65 | |
| 90734 | <1% | 45 | $512.85 | |
| 90633 | <1% | 1,442 | $466.05 | |
| 90707 | <1% | 381 | $325.23 | |
| 90723 | <1% | 859 | $311.06 | |
| 81003 | <1% | 156 | $300.34 | |
| 90698 | <1% | 783 | $257.31 | |
| 90619 | <1% | 14 | $188.00 | |
| 90715 | <1% | 37 | $167.88 | |
| 86308 | <1% | 44 | $149.92 | |
| 90648 | <1% | 1,768 | $86.75 | |
| 90696 | <1% | 150 | $68.83 | |
| 90661 | <1% | 33 | $36.85 | |
| A9150 | Non-prescription drugs | <1% | 30 | $28.00 |
| 94760 | <1% | 307 | $5.73 | |
| 90685 | 0% | 64 | $0.00 | |
| 90710 | 0% | 167 | $0.00 | |
| 90756 | 0% | 119 | $0.00 | |
| 90700 | 0% | 43 | $0.00 | |
| 99000 | 0% | 453 | $0.00 | |
| 90744 | 0% | 203 | $0.00 | |
| 90378 | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialLENTZ, JONATHAN (PHYSICIAN)