NP / PA
Lester, Tiffanie
Lester, Tiffanie was paid $791K by Medicaid between Sep 2022 and Dec 2024, across 12 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 64% of everything it billed.
33Billing provider infoLESTER, TIFFANIE
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
33aNPI1649745498assigned 10/09/2018
33bProvider typeFamily Nurse Practitioner
28Total paid$791K
24GClaims8,290
24DCodes billed12
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#16 of 1,075
Median peer was paid$8K
This provider vs. median94×
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 | |
|---|---|---|---|
| 2022 | 798 | $88K | |
| 2023 | 3,112 | $445K | |
| 2024incomplete | 4,380 | $258K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 64% | 1,849 | 1,846 | $507K |
| 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 | 19% | 2,455 | 2,206 | $149K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 1,625 | 1,503 | $72K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 5.2% | 1,198 | 1,164 | $41K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 285 | 283 | $10K |
| 80305 | <1% | 408 | 369 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 276 | 271 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 13 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 101 | 100 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $911.26 |
| 81003 | <1% | 55 | 55 | $133.24 | |
| 81025 | <1% | 13 | 13 | $100.88 |
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.