Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHARLES J LILLY MD PC

NPI: 1619167996 · MOUNT PLEASANT, MI 48858 · Orthopaedic Surgery Physician · NPI assigned 08/01/2007

$67K
Total Medicaid Paid
1,494
Total Claims
1,428
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLILLY, CHARLES (DOCTOR)
NPI Enumeration Date08/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 382 $17K
2019 296 $13K
2020 112 $4K
2021 77 $4K
2022 173 $9K
2023 265 $13K
2024 189 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 762 704 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 442 439 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 167 164 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 43 $4K
G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred 52 52 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 28 26 $0.00