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NPI 1003929340
NPI deactivated
1003929340
1003929340 was paid $0.00 by Medicaid between Sep 2018 and Sep 2020, across 22 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 0% of everything it billed.
33Billing provider info1003929340
33aNPI1003929340
33bProvider type—
28Total paid$0.00
24GClaims8,899
24DCodes billed22
24AFirst – last monthSep 2018 – Sep 2020
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 | 817 | $0.00 | |
| 2019 | 5,368 | $0.00 | |
| 2020 | 2,714 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 407 | 336 | $0.00 |
| 81025 | 0% | 96 | 88 | $0.00 | |
| 99173 | 0% | 251 | 244 | $0.00 | |
| 81003 | 0% | 419 | 375 | $0.00 | |
| S9449 | Weight management classes, non-physician provider, per session | 0% | 35 | 33 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 46 | 44 | $0.00 |
| 90633 | 0% | 12 | 12 | $0.00 | |
| 90715 | 0% | 28 | 28 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 26 | 25 | $0.00 |
| 90670 | 0% | 12 | 12 | $0.00 | |
| 92551 | 0% | 242 | 236 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 4,729 | 3,520 | $0.00 |
10 more codes
| 85018 | 0% | 422 | $0.00 | |
| S9455 | Diabetic management program, group session | 0% | 647 | $0.00 |
| 90686 | 0% | 549 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 195 | $0.00 |
| 86580 | 0% | 162 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 274 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 104 | $0.00 |
| 90688 | 0% | 215 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 15 | $0.00 |
| 90647 | 0% | 13 | $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.