Clinic
Lisa Pathak MD LLC
Lisa Pathak MD LLC was paid $264K by Medicaid between May 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoLISA PATHAK MD LLC
DINGMANS FERRY, PA 18328
DINGMANS FERRY, PA 18328
33aNPI1841431418assigned 03/11/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$264K
24GClaims8,001
24DCodes billed17
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Pennsylvania
Rank by total paid#7 of 43
Median peer was paid$55K
This provider vs. median4.8×
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 | 16 | $356.66 | |
| 2020 | 421 | $13K | |
| 2021 | 2,088 | $77K | |
| 2022 | 2,405 | $77K | |
| 2023 | 1,948 | $60K | |
| 2024incomplete | 1,123 | $37K |
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 | 54% | 4,369 | 3,776 | $143K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 14% | 1,141 | 1,060 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 372 | 356 | $30K |
| 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 | 9.6% | 547 | 507 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 191 | 177 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 653 | 637 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 313 | 151 | $3K |
| 87428 | <1% | 62 | 62 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 31 | 30 | $1K |
| 98968 | <1% | 41 | 41 | $962.52 | |
| 90686 | <1% | 74 | 45 | $320.00 |
5 more codes
| 90734 | <1% | 40 | $160.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | $131.32 |
| 90619 | 0% | 40 | $0.00 | |
| 90715 | 0% | 20 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 82 | $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.
From NPPES
Who's on the registration
Authorized officialPATHAK, LISA (OWNER)