Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201826,297$988K
201910,700$394K
20203,068$110K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.