Physician
Lakeland Medical Associates
Lakeland Medical Associates was paid $4.98M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoLAKELAND MEDICAL ASSOCIATES
ATHENS, TX 75751
ATHENS, TX 75751
33aNPI1528063534assigned 06/16/2005
33bProvider typeFamily Medicine Physician
28Total paid$4.98M
24GClaims372,118
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#17 of 1,204
Median peer was paid$31K
This provider vs. median162×
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 | 1,530 | $9K | |
| 2019 | 1,489 | $9K | |
| 2020 | 21,644 | $339K | |
| 2021 | 88,355 | $1.36M | |
| 2022 | 91,301 | $1.36M | |
| 2023 | 84,401 | $1.07M | |
| 2024incomplete | 83,398 | $830K |
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 | 31% | 32,994 | 28,220 | $1.53M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 29,819 | 27,046 | $1.03M |
| 87428 | 11% | 10,327 | 9,628 | $536K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 5,047 | 5,030 | $392K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 4,979 | 4,653 | $372K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 26,978 | 11,970 | $281K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.0% | 19,134 | 17,715 | $250K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.0% | 3,769 | 3,298 | $151K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 1,305 | 1,302 | $106K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 4,406 | 2,091 | $58K |
| 90461 | 1.1% | 25,913 | 6,488 | $54K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.0% | 1,030 | 992 | $51K |
76 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 504 | $41K |
| 99000 | <1% | 2,574 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 723 | $17K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,511 | $13K |
| 99460 | <1% | 156 | $11K | |
| 81002 | <1% | 3,822 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,271 | $10K |
| 87807 | <1% | 909 | $9K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,346 | $8K |
| 99462 | <1% | 124 | $5K | |
| 92551 | <1% | 668 | $3K | |
| 81001 | <1% | 1,001 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 385 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 48 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 161 | $2K |
| 90686 | <1% | 974 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 102 | $940.84 |
| 80050 | General health panel | <1% | 28 | $914.92 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $682.52 |
| 90677 | <1% | 525 | $527.77 | |
| 99429 | <1% | 14 | $478.24 | |
| 97802 | <1% | 315 | $454.16 | |
| 90688 | <1% | 27 | $417.84 | |
| 80053 | Comprehensive metabolic panel | <1% | 66 | $414.64 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 16,330 | $375.99 |
| 81025 | <1% | 49 | $346.46 | |
| 90658 | <1% | 16 | $225.68 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 24,992 | $225.25 |
| 90715 | <1% | 56 | $220.51 | |
| 84439 | <1% | 29 | $189.50 | |
| CP002 | <1% | 15 | $147.00 | |
| 80061 | Lipid panel | <1% | 14 | $135.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 13,428 | $55.20 |
| 90656 | <1% | 109 | $52.41 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,918 | $47.25 |
| 90672 | <1% | 46 | $24.05 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 3,461 | $14.00 |
| 90697 | <1% | 521 | $2.09 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 29 | $1.75 |
| 90619 | <1% | 42 | $0.38 | |
| 90680 | <1% | 566 | $0.01 | |
| 90670 | <1% | 2,148 | $0.01 | |
| 90648 | <1% | 464 | $0.01 | |
| 3008F | 0% | 33,834 | $0.00 | |
| 1126F | 0% | 13,634 | $0.00 | |
| 1101F | 0% | 8,844 | $0.00 | |
| 3074F | 0% | 17,813 | $0.00 | |
| 4037F | 0% | 911 | $0.00 | |
| 1000F | 0% | 2,977 | $0.00 | |
| 1125F | 0% | 1,273 | $0.00 | |
| 1036F | 0% | 3,572 | $0.00 | |
| 90723 | 0% | 116 | $0.00 | |
| 3079F | 0% | 653 | $0.00 | |
| 1111F | 0% | 286 | $0.00 | |
| G8708 | Patient not prescribed antibiotic | 0% | 133 | $0.00 |
| 90698 | 0% | 19 | $0.00 | |
| 90696 | 0% | 45 | $0.00 | |
| 3075F | 0% | 49 | $0.00 | |
| 90651 | 0% | 14 | $0.00 | |
| 1030F | 0% | 13 | $0.00 | |
| 90660 | 0% | 15 | $0.00 | |
| 3288F | 0% | 2,026 | $0.00 | |
| 1159F | 0% | 13,004 | $0.00 | |
| 3078F | 0% | 16,613 | $0.00 | |
| 99173 | 0% | 615 | $0.00 | |
| 1160F | 0% | 7,225 | $0.00 | |
| 90633 | 0% | 410 | $0.00 | |
| 90681 | 0% | 39 | $0.00 | |
| 1158F | 0% | 52 | $0.00 | |
| 90710 | 0% | 367 | $0.00 | |
| 99051 | 0% | 51 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 90685 | 0% | 209 | $0.00 | |
| 90734 | 0% | 18 | $0.00 | |
| 97803 | 0% | 31 | $0.00 | |
| 4013F | 0% | 30 | $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 officialSWARTWOOD, MICHAEL (AUTHORIZED OFFICIAL)