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NPI 1023164019
NPI deactivated
1023164019
1023164019 was paid $1.49M by Medicaid between Jan 2018 and Aug 2020, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider info1023164019
33aNPI1023164019
33bProvider type—
28Total paid$1.49M
24GClaims40,065
24DCodes billed25
24AFirst – last monthJan 2018 – Aug 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 | 26,297 | $988K | |
| 2019 | 10,700 | $394K | |
| 2020 | 3,068 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,017 | 1,974 | $246K |
| S4993 | Contraceptive pills for birth control | 13% | 1,455 | 1,437 | $187K |
| J3490 | Unclassified drugs | 11% | 6,011 | 4,783 | $161K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 9.0% | 4,885 | 4,722 | $134K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 9.0% | 4,889 | 4,731 | $134K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.9% | 742 | 736 | $132K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.5% | 1,143 | 1,132 | $112K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.3% | 1,844 | 1,817 | $109K |
| 87806 | 5.1% | 3,140 | 2,403 | $75K | |
| 99201 | 3.6% | 465 | 456 | $53K | |
| 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 | 2.6% | 196 | 195 | $38K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 95 | 92 | $28K |
13 more codes
| A4267 | Contraceptive supply, condom, male, each | 1.4% | 3,556 | $21K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 1.1% | 1,322 | $17K |
| Q3014 | Telehealth originating site facility fee | <1% | 454 | $9K |
| 99000 | <1% | 2,099 | $7K | |
| 81025 | <1% | 2,075 | $6K | |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 16 | $4K |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 644 | $4K |
| S5000 | Prescription drug, generic | <1% | 425 | $4K |
| 83986 | <1% | 1,011 | $3K | |
| S5001 | Prescription drug, brand name | <1% | 537 | $3K |
| 87210 | <1% | 798 | $2K | |
| 58300 | <1% | 24 | $2K | |
| 81002 | <1% | 222 | $386.20 |
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.