Physician
Lone Star Surgery PLLC
Lone Star Surgery PLLC was paid $37K by Medicaid between Sep 2020 and Sep 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoLONE STAR SURGERY PLLC
SULPHUR SPRINGS, TX 75482
SULPHUR SPRINGS, TX 75482
33aNPI1689834053assigned 06/10/2008
33bProvider typeSurgery Physician
28Total paid$37K
24GClaims1,222
24DCodes billed5
24AFirst – last monthSep 2020 – Sep 2024
Compared with peers
Next to other Surgery Physician providers in Texas
Rank by total paid#26 of 98
Median peer was paid$8K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2020 | 72 | $2K | |
| 2021 | 178 | $7K | |
| 2022 | 129 | $5K | |
| 2023 | 523 | $17K | |
| 2024incomplete | 320 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 81% | 702 | 517 | $30K |
| 99350 | Prolong home eval add 15m | 12% | 204 | 165 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 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) | <1% | 229 | 183 | $228.84 |
| 81025 | <1% | 14 | 13 | $79.53 |
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 officialLENINGTON, ROBERT (MD/OWNER)