Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lalios, Nicholas

Lalios, Nicholas was paid $111K by Medicaid between Jan 2018 and Mar 2022, across 8 billing codes. Its largest line is 11056, — 34% of everything it billed.

33Billing provider infoLALIOS, NICHOLAS
MERRILLVILLE, IN 46410
33aNPI1538693536assigned 04/17/2017
33bProvider typePodiatrist
28Total paid$111K
24GClaims13,260
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Podiatrist providers in Indiana

Rank by total paid#18 of 63
Median peer was paid$18K
This provider vs. median6.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20183,519$17K
20195,468$45K
20202,554$28K
20211,689$21K
202230$155.22
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11056 34% 2,919 2,739 $38K
11721 28% 4,306 4,067 $31K
11720 15% 2,319 2,231 $16K
11055 13% 1,412 1,348 $15K
G0127 Trimming of dystrophic nails, any number 10% 2,248 2,148 $11K
99304 <1% 14 14 $185.02
99307 <1% 27 27 $125.96
G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails <1% 15 12 $81.54

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.