Physician
Small, Luke
Small, Luke was paid $20K by Medicaid between Aug 2019 and Jul 2020, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 66% of everything it billed.
33Billing provider infoSMALL, LUKE
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1811315161assigned 04/03/2014
33bProvider typeOtolaryngology Physician
28Total paid$20K
24GClaims254
24DCodes billed3
24AFirst – last monthAug 2019 – Jul 2020
Compared with peers
Next to other Otolaryngology Physician providers in Missouri
Rank by total paid#23 of 53
Median peer was paid$17K
This provider vs. median1.2×
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 | 107 | $8K | |
| 2020 | 147 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 66% | 173 | 169 | $13K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 19% | 17 | 17 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 64 | 63 | $3K |
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.