1053429167

1053429167 was paid $467K by Medicaid between Jan 2018 and Aug 2023, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider info1053429167

33aNPI1053429167

33bProvider type—

28Total paid$467K

24GClaims29,203

24DCodes billed36

24AFirst – last monthJan 2018 – Aug 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	2,070	$16K
2019	2,979	$32K
2020	5,006	$69K
2021	5,291	$104K
2022	7,188	$132K
2023	6,669	$115K

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	54%	8,867	7,465	$254K
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	23%	2,974	2,949	$106K
94060		9.0%	2,110	2,071	$42K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.7%	1,371	1,265	$22K
93000		2.4%	1,925	1,895	$11K
99490	Ccm add 20min	1.6%	1,936	1,899	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.2%	177	176	$6K
93922		1.0%	139	138	$5K
99443		<1%	132	128	$3K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	1,155	1,154	$2K
81002		<1%	2,374	2,186	$1K
90688		<1%	159	158	$905.35

24 more codes

98928		<1%	84	$859.24
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	121	$770.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	69	$673.80
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	160	$605.12
98927		<1%	81	$579.39
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	27	$547.66
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	24	$469.20
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	45	$389.40
99406		<1%	99	$332.38
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	39	$315.62
0011A		<1%	22	$180.17
99439		<1%	212	$167.14
94664		<1%	27	$115.76
G3002	Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)	<1%	397	$98.92
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	120	$77.96
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	12	$64.97
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	370	$33.47
90756		<1%	16	$22.79
82962		<1%	2,005	$22.70
36415	Collection of venous blood by venipuncture	<1%	1,435	$20.82
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	41	$0.00
1100F		0%	13	$0.00
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	0%	399	$0.00
G0008	Administration of influenza virus vaccine	0%	66	$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.