Payne, Lou

Payne, Lou was paid $47K by Medicaid between Feb 2021 and Oct 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoPAYNE, LOU
NEW KENSINGTON, PA 15068

33aNPI1811322159assigned 09/05/2013

33bProvider typeFamily Medicine Physician

28Total paid$47K

24GClaims1,504

24DCodes billed3

24AFirst – last monthFeb 2021 – Oct 2023

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#954 of 2,756

Median peer was paid$19K

This provider vs. median2.5×

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
2021	782	$26K
2022	694	$21K
2023	28	$762.42

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	80%	773	608	$38K
80305		17%	718	560	$8K
99205	Prolong outpt/office vis	3.4%	13	13	$2K

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.