NP / PA
Lucy, Heather
Lucy, Heather was paid $267K by Medicaid between Dec 2019 and May 2023, across 8 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 31% of everything it billed.
33Billing provider infoLUCY, HEATHER
UNIONTOWN, PA 15401
UNIONTOWN, PA 15401
33aNPI1710431168assigned 08/14/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$267K
24GClaims6,674
24DCodes billed8
24AFirst – last monthDec 2019 – May 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#62 of 1,075
Median peer was paid$8K
This provider vs. median32×
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 | |
|---|---|---|---|
| 2019 | 15 | $485.00 | |
| 2020 | 309 | $12K | |
| 2021 | 2,978 | $116K | |
| 2022 | 2,711 | $110K | |
| 2023 | 661 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 31% | 2,774 | 2,729 | $83K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 1,686 | 1,660 | $83K |
| 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 | 15% | 563 | 557 | $40K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 1,123 | 1,116 | $39K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 206 | 206 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 130 | 129 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 180 | 178 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $394.18 |
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.