Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Oxnard › NPI 1558318881
Physician

Lyons, Harvey

Lyons, Harvey was paid $217K by Medicaid between Jan 2018 and Jul 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoLYONS, HARVEY
OXNARD, CA 93033
33aNPI1558318881assigned 05/30/2006
33bProvider typeNephrology Physician
28Total paid$217K
24GClaims5,235
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#129 of 363
Median peer was paid$80K
This provider vs. median2.7×

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

$0$5.0K$10K2018201920202021202220232024
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
20181,493$63K
20191,418$64K
20201,769$75K
2021555$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 86% 4,061 3,721 $187K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.7% 561 536 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.1% 490 435 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 96 95 $1K
80305 <1% 27 27 $387.72

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.