Physician
Dorothy Lacombe Adult Healthcare Nurse Practitioner PLLC
Dorothy Lacombe Adult Healthcare Nurse Practitioner PLLC was paid $2.61M by Medicaid between Oct 2018 and Nov 2024, across 11 billing codes. Its largest line is J0129, Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) — 41% of everything it billed.
33Billing provider infoDOROTHY LACOMBE ADULT HEALTHCARE NURSE PRACTITIONER PLLC
CLIFTON PARK, NY 12065
CLIFTON PARK, NY 12065
33aNPI1659865962assigned 06/20/2018
33bProvider typeRheumatology Physician
28Total paid$2.61M
24GClaims8,340
24DCodes billed11
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Rheumatology Physician providers in New York
Rank by total paid#2 of 199
Median peer was paid$15K
This provider vs. median172×
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 | 15 | $591.70 | |
| 2019 | 468 | $35K | |
| 2020 | 967 | $68K | |
| 2021 | 1,261 | $235K | |
| 2022 | 1,589 | $436K | |
| 2023 | 2,348 | $1.17M | |
| 2024incomplete | 1,692 | $666K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 41% | 357 | 324 | $1.07M |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 37% | 524 | 392 | $963K |
| 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 | 7.9% | 2,691 | 2,649 | $206K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 6.1% | 1,795 | 1,658 | $158K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 2,392 | 2,337 | $126K |
| 99205 | Prolong outpt/office vis | <1% | 181 | 181 | $26K |
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | <1% | 14 | 12 | $23K |
| 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% | 216 | 216 | $23K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 139 | 139 | $15K |
| 96401 | <1% | 15 | 13 | $1K | |
| 96415 | <1% | 16 | 12 | $431.75 |
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.
From NPPES
Who's on the registration
Authorized officialLACOMBE, DOROTHY (OWNER)