Luo, Lily

Luo, Lily was paid $590K by Medicaid between Jan 2018 and Mar 2023, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoLUO, LILY
QUINCY, MA 02171

33aNPI1831534205assigned 04/30/2013

33bProvider typePediatrics Physician

28Total paid$590K

24GClaims13,894

24DCodes billed37

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#135 of 1,273

Median peer was paid$24K

This provider vs. median25×

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	1,586	$70K
2019	2,242	$94K
2020	2,426	$96K
2021	3,248	$140K
2022	3,755	$161K
2023	637	$29K

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	39%	4,021	3,321	$230K
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	34%	2,052	1,751	$202K
90460	Immunization administration through 18 years of age via any route, first or only component	7.4%	1,572	1,417	$44K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	2.3%	1,487	1,474	$14K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	2.2%	550	510	$13K
99051		1.8%	626	573	$10K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.5%	105	105	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.4%	822	765	$8K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.3%	95	95	$8K
99173		1.3%	351	350	$8K
99401		<1%	194	191	$6K
96127		<1%	515	515	$5K

25 more codes

0071A		<1%	91	$4K
0072A		<1%	81	$4K
92552		<1%	105	$3K
0074A		<1%	57	$3K
90461		<1%	65	$2K
99188		<1%	75	$2K
36416		<1%	191	$2K
99442		<1%	88	$2K
0082A		<1%	35	$2K
0083A		<1%	33	$2K
0124A		<1%	25	$1K
0081A		<1%	23	$1K
0002A		<1%	23	$1K
0004A		<1%	18	$825.84
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	60	$800.16
0054A		<1%	12	$750.00
0001A		<1%	15	$688.20
0154A		<1%	12	$550.56
99177		<1%	12	$450.00
85018		<1%	188	$423.16
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	15	$305.20
99000		<1%	242	$242.00
94664		<1%	12	$172.56
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	14	$115.00
92551		<1%	12	$101.16

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.