Kenneth G. Lawlor, DO, PLLC

Kenneth G. Lawlor, DO, PLLC was paid $294K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoKENNETH G. LAWLOR, DO, PLLC
PRESCOTT, AZ 86305

33aNPI1801100250assigned 07/27/2010

33bProvider typeRheumatology Physician

28Total paid$294K

24GClaims5,135

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Rheumatology Physician providers in Arizona

Rank by total paid#8 of 23

Median peer was paid$58K

This provider vs. median5.1×

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	1,100	$71K
2019	862	$43K
2020	697	$37K
2021	702	$38K
2022	725	$44K
2023	610	$33K
2024incomplete	439	$27K

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	81%	3,725	3,476	$239K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	8.0%	20	12	$24K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	8.0%	289	209	$23K
99244	Office or other outpatient consultation, moderate to high complexity	1.6%	33	32	$5K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	14	13	$848.62
J7050	Infusion, normal saline solution, 250 cc	<1%	980	800	$334.80
96415		<1%	18	12	$153.87
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	44	39	$144.05

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 officialLAWLOR, KENNETH (OWNERPHYSICIAN)