Behavioral
Lerner, Guy
Lerner, Guy was paid $376.96 by Medicaid between Sep 2018 and Sep 2019, across 4 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 40% of everything it billed.
33Billing provider infoLERNER, GUY
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1770671547assigned 10/10/2006
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$376.96
24GClaims658
24DCodes billed4
24AFirst – last monthSep 2018 – Sep 2019
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#112 of 112
Median peer was paid$240K
This provider vs. median0.0×
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 | 154 | $43.79 | |
| 2019 | 504 | $333.17 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 40% | 190 | 128 | $150.85 |
| 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 | 32% | 63 | 39 | $120.21 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 15% | 336 | 246 | $58.32 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 69 | 46 | $47.58 |
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.