Physician
Lemme, Scott
Lemme, Scott was paid $508K by Medicaid between Jan 2018 and Mar 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoLEMME, SCOTT
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1861612384assigned 04/26/2007
33bProvider typePediatrics Physician
28Total paid$508K
24GClaims13,568
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#150 of 1,273
Median peer was paid$24K
This provider vs. median21×
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 | 2,975 | $98K | |
| 2019 | 3,048 | $109K | |
| 2020 | 2,411 | $88K | |
| 2021 | 2,416 | $88K | |
| 2022 | 2,228 | $104K | |
| 2023 | 490 | $22K |
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 | 25% | 2,196 | 2,152 | $126K |
| 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 | 17% | 928 | 897 | $89K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 2,101 | 1,556 | $71K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 565 | 565 | $47K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 507 | 507 | $43K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.2% | 194 | 194 | $26K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.3% | 2,410 | 2,405 | $22K |
| 99173 | 3.9% | 880 | 880 | $20K | |
| 90461 | 3.0% | 423 | 422 | $15K | |
| 96127 | 2.5% | 1,155 | 1,149 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 1,189 | 1,166 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 271 | 271 | $6K |
11 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 62 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 125 | $3K |
| 99051 | <1% | 170 | $3K | |
| 99177 | <1% | 205 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $2K |
| 92587 | <1% | 12 | $602.76 | |
| 0071A | <1% | 12 | $550.56 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $495.41 |
| 92552 | <1% | 13 | $336.96 | |
| 99442 | <1% | 12 | $249.72 | |
| 94760 | <1% | 70 | $177.10 |
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.