Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1043478928

1043478928 was paid $223K by Medicaid between Jan 2018 and Apr 2023, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider info1043478928
33aNPI1043478928
33bProvider type—
28Total paid$223K
24GClaims10,355
24DCodes billed22
24AFirst – last monthJan 2018 – Apr 2023
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
2018310$10K
20191,154$19K
20202,832$50K
20211,904$47K
20223,106$84K
20231,049$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 58% 2,929 2,472 $129K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 1,142 1,013 $42K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 405 398 $27K
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 3.9% 117 114 $9K
99401 2.4% 486 441 $5K
96127 2.0% 1,649 1,403 $4K
36415 Collection of venous blood by venipuncture <1% 848 787 $2K
80305 <1% 144 130 $1K
82810 <1% 136 127 $811.47
99408 <1% 66 51 $577.33
99497 <1% 13 13 $541.20
0012A <1% 20 20 $481.70
10 more codes
81000 <1% 154 $294.45
92551 <1% 56 $294.06
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $245.60
96160 <1% 398 $97.89
94760 <1% 203 $82.90
99173 <1% 27 $8.15
99000 <1% 1,105 $2.00
1160F 0% 260 $0.00
3008F 0% 155 $0.00
99406 0% 30 $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.