1043405574

1043405574 was paid $1.11M by Medicaid between Jan 2018 and Mar 2022, across 28 billing codes. Its largest line is 95911, — 21% of everything it billed.

33Billing provider info1043405574

33aNPI1043405574

33bProvider type—

28Total paid$1.11M

24GClaims14,665

24DCodes billed28

24AFirst – last monthJan 2018 – Mar 2022

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	1,726	$100K
2019	5,935	$446K
2020	3,136	$267K
2021	3,486	$266K
2022	382	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95911		21%	1,817	1,314	$237K
95886		19%	1,962	1,407	$210K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	4,437	4,023	$196K
95816		16%	905	790	$181K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.7%	1,281	1,152	$97K
95923		5.2%	1,126	775	$58K
95953		4.0%	311	62	$44K
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	1.3%	250	245	$15K
95708		1.2%	815	220	$13K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.2%	557	121	$13K
95957		1.0%	149	41	$11K
93970		<1%	42	28	$6K

16 more codes

99222	Initial hospital care, per day, moderate complexity	<1%	79	$6K
92546		<1%	56	$4K
95700		<1%	377	$3K
92548		<1%	38	$3K
92540		<1%	39	$3K
93925		<1%	15	$2K
95723		<1%	20	$2K
92537		<1%	39	$1K
93922		<1%	15	$902.96
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	64	$706.20
99406		<1%	129	$316.91
92547		<1%	56	$226.50
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	$132.27
99407		<1%	45	$99.49
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	14	$26.94
G0444	Annual depression screening, 5 to 15 minutes	0%	13	$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.