1043284110

1043284110 was paid $1.25M by Medicaid between Jan 2018 and Oct 2020, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider info1043284110

33aNPI1043284110

33bProvider type—

28Total paid$1.25M

24GClaims31,097

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 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	15,424	$620K
2019	4,031	$189K
2020	11,642	$436K

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	44%	10,798	3,844	$542K
80305		30%	11,620	3,964	$379K
81025		9.5%	4,406	1,598	$119K
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	8.3%	1,123	939	$103K
99406		4.8%	2,372	1,186	$60K
99401		1.8%	559	308	$22K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.0%	99	99	$13K
99205	Prolong outpt/office vis	<1%	14	14	$3K
99407		<1%	89	89	$3K
99402		<1%	17	17	$797.86

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.