1013082791

1013082791 was paid $681K by Medicaid between Jan 2018 and Dec 2019, across 10 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 76% of everything it billed.

33Billing provider info1013082791

33aNPI1013082791

33bProvider type—

28Total paid$681K

24GClaims1,563

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2019

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	1,080	$540K
2019	483	$142K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	76%	208	208	$517K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	8.0%	304	304	$55K
76801		6.2%	266	266	$42K
59510		6.2%	15	15	$42K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	246	227	$21K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	44	40	$2K
81003		<1%	391	356	$846.34
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	46	46	$774.54
90658		<1%	31	31	$304.11
90756		<1%	12	12	$243.84

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.