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NPI 1043478928
NPI deactivated
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
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 | 310 | $10K | |
| 2019 | 1,154 | $19K | |
| 2020 | 2,832 | $50K | |
| 2021 | 1,904 | $47K | |
| 2022 | 3,106 | $84K | |
| 2023 | 1,049 | $14K |
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 | 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.