1013976430

1013976430 was paid $299K by Medicaid between Jan 2018 and Dec 2019, across 12 billing codes. Its largest line is 93458, — 52% of everything it billed.

33Billing provider info1013976430

33aNPI1013976430

33bProvider type—

28Total paid$299K

24GClaims3,554

24DCodes billed12

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	1,416	$201K
2019	2,138	$99K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93458		52%	137	118	$157K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	22%	431	400	$67K
92928		14%	79	54	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.4%	1,257	1,064	$22K
93307		3.1%	95	75	$9K
93228		<1%	100	66	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	59	43	$1K
75625		<1%	13	13	$572.81
3008F		0%	261	227	$0.00
3075F		0%	372	310	$0.00
3079F		0%	591	501	$0.00
3074F		0%	159	143	$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.