Lather, Leigh

Lather, Leigh was paid $17K by Medicaid between Jan 2018 and Oct 2018, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 57% of everything it billed.

33Billing provider infoLATHER, LEIGH
CHARLOTTESVILLE, VA 22903

33aNPI1649264953assigned 09/01/2005

33bProvider typePediatric Orthopaedic Surgery Physician

28Total paid$17K

24GClaims356

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pediatric Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#2 of 7

Median peer was paid$14K

This provider vs. median1.2×

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	356	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	57%	174	174	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	168	164	$7K
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	5.0%	14	14	$856.07

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.