Lavalley, Mary

Lavalley, Mary was paid $35K by Medicaid between Jan 2021 and Mar 2021, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.

33Billing provider infoLAVALLEY, MARY
PHOENIX, AZ 85015

33aNPI1609862531assigned 09/26/2005

33bProvider typePediatric Nurse Practitioner

28Total paid$35K

24GClaims1,079

24DCodes billed12

24AFirst – last monthJan 2021 – Mar 2021

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Arizona

Rank by total paid#9 of 22

Median peer was paid$18K

This provider vs. median2.0×

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

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
2021	1,079	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	24%	119	107	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	152	142	$7K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	14%	66	62	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	13%	62	59	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	57	55	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	11%	145	123	$4K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.9%	14	13	$1K
92551		2.0%	137	111	$698.09
81002		<1%	127	115	$316.34
99173		<1%	139	110	$167.99
90461		<1%	44	37	$91.97
96127		<1%	17	14	$37.58

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.