Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1770671547assigned 10/10/2006
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

$0$50$100$1502018201920202021202220232024
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
YearClaimsPaid
2018154$43.79
2019504$333.17
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.