1013083401

1013083401 was paid $102K by Medicaid between Jan 2018 and Jun 2020, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider info1013083401

33aNPI1013083401

33bProvider type—

28Total paid$102K

24GClaims6,746

24DCodes billed49

24AFirst – last monthJan 2018 – Jun 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	1,867	$44K
2019	4,479	$54K
2020	400	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	57%	1,219	1,089	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	595	563	$27K
99408		3.0%	121	119	$3K
99401		2.3%	103	101	$2K
99497		1.7%	43	43	$2K
99385		1.7%	26	26	$2K
99386		1.2%	16	16	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.2%	14	14	$1K
97802		1.1%	46	43	$1K
94060		<1%	17	17	$998.37
93000		<1%	141	141	$919.79
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	40	39	$430.72

37 more codes

96160		<1%	129	$344.28
96127		<1%	91	$335.90
99487	Ccm add 20min	<1%	12	$297.45
99490	Ccm add 20min	<1%	56	$239.06
96161		<1%	141	$232.16
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	28	$212.43
36415	Collection of venous blood by venipuncture	<1%	500	$167.62
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	24	$153.30
99406		<1%	15	$89.28
G9905	Patient not screened for tobacco use	<1%	29	$47.50
94760		<1%	61	$34.34
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	89	$10.50
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	13	$7.00
1170F		<1%	132	$0.01
1126F		<1%	74	$0.01
1125F		<1%	41	$0.01
0521F		<1%	51	$0.01
3079F		0%	47	$0.00
3044F		0%	211	$0.00
3008F		0%	365	$0.00
99000		0%	249	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	67	$0.00
3074F		0%	144	$0.00
2000F		0%	118	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	36	$0.00
G8732	No documentation of pain assessment, reason not given	0%	23	$0.00
1157F		0%	18	$0.00
1101F		0%	60	$0.00
1159F		0%	519	$0.00
3078F		0%	148	$0.00
1160F		0%	485	$0.00
1494F		0%	166	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	35	$0.00
3725F		0%	129	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	32	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	12	$0.00
3077F		0%	15	$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.