Physician
Samson-Fang, Lisa
Samson-Fang, Lisa was paid $26K by Medicaid between Jan 2018 and Nov 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoSAMSON-FANG, LISA
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
33aNPI1821188442assigned 10/13/2006
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$26K
24GClaims498
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2020
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 | 96 | $5K | |
| 2019 | 156 | $9K | |
| 2020 | 246 | $13K |
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 | 62% | 234 | 224 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 31% | 137 | 134 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 28 | 28 | $2K |
| 90686 | <1% | 99 | 98 | $141.21 |
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.