Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Duncansville › NPI 1639162241
Physician

Lavelle, Lori

Lavelle, Lori was paid $884.92 by Medicaid between Oct 2020 and Jun 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoLAVELLE, LORI
DUNCANSVILLE, PA 16635
33aNPI1639162241assigned 08/30/2005
33bProvider typeRheumatology Physician
28Total paid$884.92
24GClaims203
24DCodes billed2
24AFirst – last monthOct 2020 – Jun 2024
Compared with peers

Next to other Rheumatology Physician providers in Pennsylvania

Rank by total paid#64 of 77
Median peer was paid$7K
This provider vs. median0.1×

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$100$200$3002018201920202021202220232024
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
202029$57.68
202164$219.12
202226$109.66
202360$128.22
2024incomplete24$370.24
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 56% 84 75 $498.46
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 119 119 $386.46

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.