NP / PA
Lake Effect Health
Lake Effect Health was paid $199K by Medicaid between Mar 2019 and Apr 2023, across 10 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 35% of everything it billed.
33Billing provider infoLAKE EFFECT HEALTH
CLEVELAND, OH 44115
CLEVELAND, OH 44115
33aNPI1780156984assigned 12/28/2018
33bProvider typeNurse Practitioner
28Total paid$199K
24GClaims17,738
24DCodes billed10
24AFirst – last monthMar 2019 – Apr 2023
Compared with peers
Next to other Nurse Practitioner providers in Ohio
Rank by total paid#35 of 168
Median peer was paid$9K
This provider vs. median23×
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 | 1,373 | $18K | |
| 2020 | 2,104 | $17K | |
| 2021 | 5,447 | $48K | |
| 2022 | 5,481 | $59K | |
| 2023 | 3,333 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 35% | 8,209 | 3,011 | $70K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 21% | 3,740 | 1,859 | $41K |
| 11043 | 20% | 1,663 | 614 | $39K | |
| 99458 | 7.7% | 736 | 548 | $15K | |
| 99454 | 6.2% | 757 | 578 | $12K | |
| 99457 | 5.5% | 915 | 715 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.7% | 673 | 326 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.9% | 673 | 326 | $4K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 185 | 92 | $1K |
| 99453 | <1% | 187 | 166 | $743.55 |
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 officialRUTHERFORD, SEANA (OWNER/OPERATOR)
| Provider | Location | Paid |
|---|---|---|
| Lake Effect Health | Brooklyn, OH | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.