NP / PA
Fails, Lucinda
Fails, Lucinda was paid $35K by Medicaid between Oct 2020 and Aug 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoFAILS, LUCINDA
BLAIRSVILLE, PA 15717
BLAIRSVILLE, PA 15717
33aNPI1518945906assigned 01/05/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$35K
24GClaims7,586
24DCodes billed16
24AFirst – last monthOct 2020 – Aug 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#282 of 1,075
Median peer was paid$8K
This provider vs. median4.1×
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 | |
|---|---|---|---|
| 2020 | 314 | $2K | |
| 2021 | 1,850 | $10K | |
| 2022 | 2,315 | $11K | |
| 2023 | 2,104 | $8K | |
| 2024incomplete | 1,003 | $4K |
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 | 82% | 881 | 839 | $28K |
| 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 | 18% | 130 | 127 | $6K |
| 3008F | 0% | 1,549 | 1,444 | $0.00 | |
| 1126F | 0% | 257 | 253 | $0.00 | |
| 3079F | 0% | 347 | 336 | $0.00 | |
| 1111F | 0% | 157 | 145 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,429 | 1,342 | $0.00 |
| 3074F | 0% | 1,032 | 980 | $0.00 | |
| 1101F | 0% | 358 | 348 | $0.00 | |
| 1125F | 0% | 43 | 42 | $0.00 | |
| 1036F | 0% | 161 | 155 | $0.00 | |
| 3075F | 0% | 12 | 12 | $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.