Samms-Lezama, Marguerite

Samms-Lezama, Marguerite was paid $13.34M by Medicaid between Jan 2018 and Dec 2019, across 18 billing codes. Its largest line is T1001, Nursing assessment / evaluation — 65% of everything it billed.

33Billing provider infoSAMMS-LEZAMA, MARGUERITE
BROOKLYN, NY 11207

33aNPI1992859888assigned 01/22/2007

33bProvider typeClinical Social Worker

28Total paid$13.34M

24GClaims71,437

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Clinical Social Worker providers in New York

Rank by total paid#6 of 882

Median peer was paid$53K

This provider vs. median252×

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	65,695	$12.89M
2019	5,742	$453K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1001	Nursing assessment / evaluation	65%	37,036	22,315	$8.66M
S9131	Physical therapy; in the home, per diem	12%	10,025	4,564	$1.57M
S9129	Occupational therapy, in the home, per diem	7.9%	6,290	3,745	$1.05M
S9127	Social work visit, in the home, per diem	5.4%	5,729	5,443	$726K
S9470	Nutritional counseling, dietitian visit	4.0%	2,286	2,180	$535K
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	3.0%	3,203	3,098	$399K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	3,682	3,239	$314K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	186	186	$32K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	573	536	$30K
99499		<1%	115	115	$6K
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%	24	24	$5K
82947		<1%	837	747	$4K

6 more codes

94760		<1%	1,019	$4K
90658		<1%	66	$3K
93000		<1%	110	$2K
S9128	Speech therapy, in the home, per diem	<1%	16	$2K
99349		<1%	12	$824.64
36415	Collection of venous blood by venipuncture	<1%	228	$627.51

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.