Physician
Lilly, Timothy
Lilly, Timothy was paid $16K by Medicaid between Nov 2020 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoLILLY, TIMOTHY
GROVE CITY, PA 16127
GROVE CITY, PA 16127
33aNPI1649258765assigned 01/09/2006
33bProvider typeInternal Medicine Physician
28Total paid$16K
24GClaims1,506
24DCodes billed10
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#618 of 1,726
Median peer was paid$6K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2020 | 22 | $122.86 | |
| 2021 | 111 | $1K | |
| 2022 | 250 | $911.72 | |
| 2023 | 778 | $10K | |
| 2024incomplete | 345 | $4K |
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 | 75% | 271 | 262 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 105 | 103 | $3K |
| G0444 | Annual depression screening, 5 to 15 minutes | 3.2% | 41 | 41 | $504.48 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 22 | 22 | $122.86 |
| 3074F | 0% | 384 | 361 | $0.00 | |
| 1036F | 0% | 42 | 39 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 224 | 214 | $0.00 |
| 3079F | 0% | 12 | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 169 | 155 | $0.00 |
| 3078F | 0% | 236 | 222 | $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.