Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LONE STAR SURGERY PLLC

NPI: 1689834053 · SULPHUR SPRINGS, TX 75482 · Surgery Physician · NPI assigned 06/10/2008

$37K
Total Medicaid Paid
1,222
Total Claims
926
Beneficiaries
5
Codes Billed
2020-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLENINGTON, ROBERT (MD/OWNER)
NPI Enumeration Date06/10/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 72 $2K
2021 178 $7K
2022 129 $5K
2023 523 $17K
2024 320 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 702 517 $30K
99350 Prolong home eval add 15m 204 165 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73 48 $2K
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) 229 183 $228.84
81025 14 13 $79.53