Lancaster Primary Care PSC

Lancaster Primary Care PSC was paid $148K by Medicaid between Jan 2018 and Aug 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoLANCASTER PRIMARY CARE PSC
LANCASTER, KY 40444

33aNPI1548344021assigned 10/24/2006

33bProvider typeFamily Medicine Physician

28Total paid$148K

24GClaims4,349

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Family Medicine Physician providers in Kentucky

Rank by total paid#151 of 352

Median peer was paid$90K

This provider vs. median1.7×

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	1,004	$33K
2019	1,009	$32K
2020	870	$28K
2021	869	$32K
2022	597	$22K

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	75%	3,159	2,540	$111K
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	23%	933	834	$34K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	16	16	$1K
97802		<1%	102	95	$1K
96127		<1%	91	82	$286.56
99406		<1%	17	14	$147.42
96160		<1%	31	28	$61.50

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 officialWERKMEISTER, JAMES (OWNER)