Physician
John Lane Obstetrics and Gynecology PLLC
John Lane Obstetrics and Gynecology PLLC was paid $865K by Medicaid between Jan 2018 and Aug 2022, across 20 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 51% of everything it billed.
33Billing provider infoJOHN LANE OBSTETRICS AND GYNECOLOGY PLLC
RALEIGH, NC 27607
RALEIGH, NC 27607
33aNPI1720098619assigned 08/09/2006
33bProvider typeObstetrics Physician
28Total paid$865K
24GClaims6,276
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Obstetrics Physician providers in North Carolina
Rank by total paid#2 of 8
Median peer was paid$602K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2018 | 2,123 | $358K | |
| 2019 | 1,386 | $191K | |
| 2020 | 912 | $124K | |
| 2021 | 1,607 | $142K | |
| 2022 | 248 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 51% | 344 | 307 | $441K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 13% | 1,186 | 917 | $109K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 10% | 736 | 582 | $87K |
| 59430 | 8.0% | 733 | 585 | $69K | |
| 76801 | 5.1% | 598 | 415 | $44K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 4.3% | 1,048 | 823 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 718 | 390 | $25K |
| 59426 | 2.6% | 91 | 31 | $23K | |
| 99442 | 1.0% | 181 | 156 | $9K | |
| 59425 | <1% | 61 | 18 | $6K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 69 | 59 | $5K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 42 | 29 | $3K |
8 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 91 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 210 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 19 | $1K |
| 90686 | <1% | 19 | $283.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $234.25 |
| 81025 | <1% | 32 | $187.20 | |
| 87210 | <1% | 30 | $32.90 | |
| 81002 | <1% | 43 | $9.45 |
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 officialLANE, JOHN (DOCTOR)