Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lambert, Calvin

Lambert, Calvin was paid $14K by Medicaid between Sep 2022 and Feb 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoLAMBERT, CALVIN
NEW YORK, NY 10029
33aNPI1568857944assigned 04/01/2015
28Total paid$14K
24GClaims247
24DCodes billed6
24AFirst – last monthSep 2022 – Feb 2023
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in New York

Rank by total paid#41 of 80
Median peer was paid$14K
This provider vs. median1.0×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2022187$11K
202360$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 123 106 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14% 52 47 $2K
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 10% 13 12 $1K
76819 Fetal biophysical profile; without non-stress testing 8.3% 27 26 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 5.1% 18 17 $736.19
59025 Fetal non-stress test 2.7% 14 13 $389.73

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.