NP / PA
Lucas Family Medicine PLLC
Lucas Family Medicine PLLC was paid $151K by Medicaid between Sep 2023 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoLUCAS FAMILY MEDICINE PLLC
MIDDLESBORO, KY 40965
MIDDLESBORO, KY 40965
33aNPI1932899176assigned 05/10/2023
33bProvider typeFamily Nurse Practitioner
28Total paid$151K
24GClaims4,887
24DCodes billed16
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#96 of 424
Median peer was paid$19K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2023 | 925 | $21K | |
| 2024incomplete | 3,962 | $130K |
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 | 40% | 1,251 | 1,033 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 1,713 | 1,162 | $57K |
| 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 | 9.0% | 190 | 177 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 166 | 159 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.9% | 334 | 269 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 84 | 78 | $2K |
| 90674 | 1.3% | 78 | 76 | $2K | |
| 90661 | <1% | 51 | 51 | $1K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 156 | 143 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 376 | 313 | $633.15 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 224 | 208 | $578.47 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 115 | 108 | $260.98 |
4 more codes
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 officialLUCAS, JONATHON (CO-OWNER/ MANAGER)