Managed care
Paul A. Lenz MD PA
Paul A. Lenz MD PA was paid $62K by Medicaid between Sep 2021 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoPAUL A. LENZ MD PA
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1922295989assigned 10/03/2007
33bProvider typePreferred Provider Organization
28Total paid$62K
24GClaims5,851
24DCodes billed28
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Texas
Rank by total paid#21 of 32
Median peer was paid$168K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 84 | $299.23 | |
| 2022 | 462 | $2K | |
| 2023 | 1,532 | $20K | |
| 2024incomplete | 3,773 | $40K |
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 | 73% | 1,544 | 1,168 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 524 | 435 | $10K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.7% | 369 | 339 | $2K |
| 99307 | 2.3% | 389 | 351 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 26 | 26 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 17 | 17 | $763.70 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 192 | 184 | $600.67 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | 16 | $564.41 |
| 81003 | <1% | 276 | 253 | $245.19 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 59 | 57 | $225.74 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | 12 | $124.48 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $104.80 |
16 more codes
| 99305 | <1% | 21 | $50.92 | |
| 3725F | 0% | 15 | $0.00 | |
| 1159F | 0% | 238 | $0.00 | |
| 1160F | 0% | 503 | $0.00 | |
| 3078F | 0% | 255 | $0.00 | |
| 3077F | 0% | 31 | $0.00 | |
| 1090F | 0% | 23 | $0.00 | |
| 3008F | 0% | 244 | $0.00 | |
| 3074F | 0% | 337 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 448 | $0.00 |
| 3075F | 0% | 27 | $0.00 | |
| 3079F | 0% | 130 | $0.00 | |
| 1126F | 0% | 37 | $0.00 | |
| 1125F | 0% | 65 | $0.00 | |
| 1170F | 0% | 23 | $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 officialLENZ, PAUL (OWNER)