Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Crossville › NPI 1821440017
NP / PA

Lemons, Sandra

Lemons, Sandra was paid $1.69 by Medicaid between Oct 2023 and Jun 2024, across 3 billing codes. Its largest line is G0317, Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) — 100% of everything it billed.

33Billing provider infoLEMONS, SANDRA
CROSSVILLE, AL 35962
33aNPI1821440017assigned 07/12/2016
33bProvider typeNurse Practitioner
28Total paid$1.69
24GClaims60
24DCodes billed3
24AFirst – last monthOct 2023 – Jun 2024
Compared with peers

Next to other Nurse Practitioner providers in Alabama

Rank by total paid#23 of 47
Median peer was paid$0.00
This provider vs. median0.0×

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

$0$1$22018201920202021202220232024
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
YearClaimsPaid
202333$0.00
2024incomplete27$1.69
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 100% 15 12 $1.69
99307 0% 33 13 $0.00
99310 Prolong nursin fac eval 15m 0% 12 12 $0.00

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.