Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$50K$100K$150K2018201920202021202220232024
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
201815$591.70
2019468$35K
2020967$68K
20211,261$235K
20221,589$436K
20232,348$1.17M
2024incomplete1,692$666K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)