Physician
Matthews, Lauren
Matthews, Lauren was paid $76K by Medicaid between Jul 2019 and Jan 2020, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMATTHEWS, LAUREN
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1538506258assigned 06/04/2013
33bProvider typePediatrics Physician
28Total paid$76K
24GClaims1,747
24DCodes billed18
24AFirst – last monthJul 2019 – Jan 2020
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#116 of 471
Median peer was paid$18K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2019 | 1,681 | $73K | |
| 2020 | 66 | $3K |
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 | 47% | 481 | 444 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 114 | 114 | $12K |
| 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 | 15% | 102 | 100 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 74 | 74 | $7K |
| 90461 | 5.6% | 175 | 175 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 260 | 260 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 12 | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 39 | 20 | $542.40 |
| 81003 | <1% | 101 | 99 | $204.00 | |
| 85018 | <1% | 89 | 89 | $191.35 | |
| 90633 | 0% | 14 | 14 | $0.00 | |
| 90670 | 0% | 77 | 77 | $0.00 |
6 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.