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NPI 1043367980
NPI deactivated
1043367980
1043367980 was paid $1.01M by Medicaid between Jan 2018 and Nov 2020, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider info1043367980
33aNPI1043367980
33bProvider type—
28Total paid$1.01M
24GClaims50,575
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 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 | 18,351 | $387K | |
| 2019 | 20,659 | $395K | |
| 2020 | 11,565 | $231K |
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 | 68% | 14,916 | 12,999 | $694K |
| 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 | 9.4% | 1,401 | 1,283 | $95K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.7% | 4,046 | 3,880 | $57K |
| 99051 | 3.8% | 2,293 | 2,155 | $39K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.3% | 3,003 | 1,250 | $33K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 476 | 460 | $33K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 1,671 | 1,605 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 2,050 | 1,780 | $24K |
| 90473 | <1% | 419 | 404 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | 52 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 326 | 244 | $543.75 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 781 | 551 | $447.32 |
24 more codes
| 85660 | <1% | 105 | $242.00 | |
| J2540 | Injection, penicillin g potassium, up to 600,000 units | <1% | 251 | $205.26 |
| 99050 | <1% | 34 | $173.94 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 349 | $0.48 |
| 3008F | 0% | 12,519 | $0.00 | |
| 90686 | 0% | 2,139 | $0.00 | |
| 90620 | 0% | 381 | $0.00 | |
| 90698 | 0% | 88 | $0.00 | |
| 90680 | 0% | 98 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90744 | 0% | 27 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90670 | 0% | 549 | $0.00 | |
| 90649 | 0% | 627 | $0.00 | |
| 90734 | 0% | 502 | $0.00 | |
| 90710 | 0% | 215 | $0.00 | |
| 90633 | 0% | 480 | $0.00 | |
| 90700 | 0% | 79 | $0.00 | |
| 90685 | 0% | 226 | $0.00 | |
| 90672 | 0% | 245 | $0.00 | |
| 90715 | 0% | 69 | $0.00 | |
| 90648 | 0% | 92 | $0.00 | |
| 90707 | 0% | 12 | $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.