Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lon Lafferty MD PSC

Lon Lafferty MD PSC was paid $908K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 96% of everything it billed.

33Billing provider infoLON LAFFERTY MD PSC
INEZ, KY 41224
33aNPI1992992572assigned 09/27/2007
33bProvider typeAdult Medicine Physician
28Total paid$908K
24GClaims31,670
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Adult Medicine Physician providers in Kentucky

Rank by total paid#2 of 7
Median peer was paid$205K
This provider vs. median4.4×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20186,404$180K
20195,968$174K
20204,909$147K
20214,926$136K
20223,796$108K
20233,367$94K
2024incomplete2,300$69K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 96% 29,997 21,808 $873K
99308 Subsequent nursing facility care, per day, straightforward 3.0% 1,358 916 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 68 62 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 43 26 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 16 12 $707.28
99441 <1% 61 56 $524.64
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 63 57 $442.65
99442 <1% 20 20 $318.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 44 40 $12.33

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 officialLAFFERTY, LON (OWNER)