Physician
Lackawanna Medical Group PC
Lackawanna Medical Group PC was paid $140K by Medicaid between Jan 2018 and Mar 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoLACKAWANNA MEDICAL GROUP PC
SCRANTON, PA 18508
SCRANTON, PA 18508
33aNPI1770650962assigned 11/30/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$140K
24GClaims6,695
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Pennsylvania
Rank by total paid#32 of 592
Median peer was paid$3K
This provider vs. median45×
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 | 709 | $3K | |
| 2019 | 469 | $3K | |
| 2020 | 474 | $12K | |
| 2021 | 1,919 | $55K | |
| 2022 | 2,295 | $50K | |
| 2023 | 773 | $15K | |
| 2024incomplete | 56 | $2K |
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 | 68% | 2,484 | 2,377 | $95K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 883 | 801 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 108 | 105 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 36 | 36 | $3K |
| 99490 | Ccm add 20min | 1.9% | 440 | 440 | $3K |
| 90686 | 1.6% | 554 | 552 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | 12 | $226.99 |
| 3079F | <1% | 152 | 150 | $70.00 | |
| 96127 | <1% | 13 | 13 | $52.00 | |
| 3078F | <1% | 240 | 238 | $50.00 | |
| 3074F | <1% | 444 | 432 | $50.00 | |
| 99173 | 0% | 430 | 426 | $0.00 |
6 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 335 | $0.00 |
| 92552 | 0% | 399 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 68 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 29 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 56 | $0.00 |
| 1125F | 0% | 12 | $0.00 |
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 officialGRAD, CHARLES (BUSINESS MANAGER)