Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lee, Sylvia

Lee, Sylvia was paid $37K by Medicaid between Jan 2018 and Feb 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoLEE, SYLVIA
LIVERPOOL, NY 13088
33aNPI1629324843assigned 07/25/2012
28Total paid$37K
24GClaims1,410
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in New York

Rank by total paid#235 of 2,013
Median peer was paid$4K
This provider vs. median9.9×

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
2018337$9K
2019609$13K
2020435$13K
202129$2K
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 76% 808 749 $28K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 325 309 $8K
93000 <1% 13 13 $140.08
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 52 51 $129.18
36415 Collection of venous blood by venipuncture <1% 99 97 $6.51
83036 Hemoglobin; glycosylated (A1C) 0% 14 14 $0.00
80053 Comprehensive metabolic panel 0% 60 59 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 14 14 $0.00
80061 Lipid panel 0% 25 25 $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.