1043385453

1043385453 was paid $233K by Medicaid between Jan 2018 and Jul 2019, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider info1043385453

33aNPI1043385453

33bProvider type—

28Total paid$233K

24GClaims9,582

24DCodes billed14

24AFirst – last monthJan 2018 – Jul 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	6,249	$172K
2019	3,333	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	42%	3,207	1,884	$99K
99497		16%	952	675	$38K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	1,519	857	$32K
95923		8.6%	570	374	$20K
93922		7.4%	768	504	$17K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.4%	167	104	$6K
95943		2.2%	417	234	$5K
95921		2.1%	114	103	$5K
99385		1.5%	52	48	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	211	132	$3K
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%	28	27	$2K
94760		<1%	1,303	985	$1K

2 more codes

96127		<1%	216	$484.94
36415	Collection of venous blood by venipuncture	<1%	58	$61.76

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.