Charles J Lilly MD PC

Charles J Lilly MD PC was paid $67K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoCHARLES J LILLY MD PC
MOUNT PLEASANT, MI 48858

33aNPI1619167996assigned 08/01/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$67K

24GClaims1,494

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Michigan

Rank by total paid#39 of 98

Median peer was paid$28K

This provider vs. median2.3×

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	382	$17K
2019	296	$13K
2020	112	$4K
2021	77	$4K
2022	173	$9K
2023	265	$13K
2024incomplete	189	$7K

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	49%	762	704	$33K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	38%	442	439	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.7%	167	164	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.3%	43	43	$4K
G9969	Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred	0%	52	52	$0.00
M1207	Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety	0%	28	26	$0.00

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 officialLILLY, CHARLES (DOCTOR)