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NPI 1407856891 · Connellsville, PA · Family Medicine Physician
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Sarah Lumley is a family medicine physician provider located in Connellsville, Pennsylvania. This profile covers 15 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sarah Lumley |
| Address | 204 Memorial Blvd |
| City | Connellsville |
| State | PA |
| ZIP | 15425 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | July 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $66K |
| Medicaid | $30.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 310 | $70 | $21.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 180 | $50 | $9.1K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 50 | $150 | $8.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | $120 | $7.5K |
| 90671 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 15–valent vaccine, protecting against 15 strains of the… | 20 | $240 | $4.1K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 30 | $110 | $3.6K |
| 90732 | The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that… | 20 | $130 | $2.6K |
| G0008 | Administration of influenza virus vaccine | 80 | $30 | $2.4K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 30 | $80 | $2.1K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 50 | $20 | $1.1K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 4,099 | 23,230 | 100 | $80 | $14.5K |
| G0439 | 2,531 | 5,250 | 60 | $110 | $9.5K |
| 99215 | 3,989 | 7,170 | 40 | $120 | $8.6K |
| 99213 | 4,814 | 22,370 | 70 | $60 | $7.7K |
| 90694 | 1,830 | 2,400 | 70 | $80 | $7.5K |
| 90671 | 9 | 30 | 20 | $240 | $5K |
| 90662 | 3,900 | 4,190 | 40 | $70 | $4.3K |
| 36415 | 872 | 2,340 | 80 | $10 | $3.2K |
| G0438 | 44 | 1,020 | 20 | $130 | $3.1K |
| 90732 | 34 | 130 | 20 | $130 | $2.5K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 390 | $40 | $14.9K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 380 | $30 | $11.4K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 70 | $50 | $3.2K |
| 0002A | N/A | 10 | $40 | $530 |
| 91300 | N/A | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,166 | 8,160 | 210 | $60 | $68.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 3,654 | 8,870 | 240 | $40 | $56.1K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 687 | 1,210 | 100 | $90 | $45K |
| 0002A | N/A | 208 | 220 | 90 | $40 | $10.9K |
| 91300 | N/A | 48 | 60 | 50 | $0 | $0 |
Other providers in the same ZIP code as Sarah Lumley, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Connellsville Counseling & Psychological Services, LLC | PA | Community/Behavioral Health Agency | $0 | $11.6M |
| Fayette Ems | PA | Land Ambulance | $1.1M | $7.5M |
| Connellsville Counseling Center | PA | Clinic/Center | $0 | $6.1M |
| Greg Hites | PA | Family Nurse Practitioner | $112.3K | $258.2K |
| Jennifer Sterbutzel | PA | Family Nurse Practitioner | $84.4K | $205.1K |
| James Oppy | PA | Family Medicine Physician | $163.3K | $51.3K |
| Jeremiah Altman | PA | Surgical Physician Assistant | $70.4K | $119.6K |
| Richard Conn | PA | Family Medicine Physician | $39.5K | $2.5K |
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