Physician
Carlton J Lewis DO PA
Carlton J Lewis DO PA was paid $76K by Medicaid between Jan 2018 and Sep 2023, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoCARLTON J LEWIS DO PA
LUFKIN, TX 75904
LUFKIN, TX 75904
33aNPI1881764728assigned 11/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$76K
24GClaims6,875
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#454 of 1,204
Median peer was paid$31K
This provider vs. median2.5×
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 | 931 | $7K | |
| 2019 | 1,051 | $8K | |
| 2020 | 832 | $21K | |
| 2021 | 1,860 | $21K | |
| 2022 | 1,282 | $10K | |
| 2023 | 919 | $10K |
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 | 53% | 2,946 | 2,398 | $41K |
| 99423 | 33% | 459 | 189 | $25K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 585 | 487 | $4K |
| 99091 | 3.6% | 128 | 121 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.2% | 405 | 326 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 203 | 188 | $891.77 |
| 99304 | <1% | 26 | 26 | $621.68 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 252 | 223 | $487.56 |
| 99310 | Prolong nursin fac eval 15m | <1% | 65 | 62 | $45.25 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 77 | 63 | $3.80 |
| 1159F | 0% | 51 | 43 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 198 | 131 | $0.00 |
15 more codes
| 3288F | 0% | 112 | $0.00 | |
| 90756 | 0% | 14 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 144 | $0.00 |
| 1160F | 0% | 51 | $0.00 | |
| 81003 | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 22 | $0.00 |
| 1126F | 0% | 520 | $0.00 | |
| 1170F | 0% | 263 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 164 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 29 | $0.00 |
| 3008F | 0% | 49 | $0.00 | |
| 1125F | 0% | 27 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 42 | $0.00 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 15 | $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 officialLEWIS, CARLTON (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Life Changes Counseling & Consulting, INC | Clovis, NM | $209K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.