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NPI 1013971712
NPI deactivated
1013971712
1013971712 was paid $364K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 45% of everything it billed.
33Billing provider info1013971712
33aNPI1013971712
33bProvider type—
28Total paid$364K
24GClaims13,425
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
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 | 3,303 | $56K | |
| 2019 | 2,520 | $47K | |
| 2020 | 1,482 | $34K | |
| 2021 | 1,946 | $65K | |
| 2022 | 1,613 | $55K | |
| 2023 | 1,547 | $64K | |
| 2024incomplete | 1,014 | $43K |
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 | 45% | 7,870 | 7,389 | $165K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 30% | 2,049 | 2,012 | $108K |
| 99201 | 19% | 3,039 | 2,886 | $70K | |
| 11102 | 4.0% | 291 | 290 | $14K | |
| 11401 | <1% | 59 | 59 | $3K | |
| 11100 | <1% | 90 | 79 | $3K | |
| 17110 | <1% | 27 | 27 | $526.50 |
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.