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NPI 1053474783
NPI deactivated
1053474783
1053474783 was paid $0.00 by Medicaid between Jan 2018 and Oct 2021, across 21 billing codes. Its largest line is 1033F, — 0% of everything it billed.
33Billing provider info1053474783
33aNPI1053474783
33bProvider type—
28Total paid$0.00
24GClaims1,926
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2021
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 | 983 | $0.00 | |
| 2019 | 104 | $0.00 | |
| 2020 | 427 | $0.00 | |
| 2021 | 412 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 1033F | 0% | 30 | 27 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 223 | 101 | $0.00 |
| 80061 | Lipid panel | 0% | 96 | 96 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 43 | 43 | $0.00 |
| 80305 | 0% | 38 | 38 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 82 | 73 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 22 | 12 | $0.00 |
| 90658 | 0% | 13 | 13 | $0.00 | |
| 86592 | 0% | 95 | 95 | $0.00 | |
| 81001 | 0% | 47 | 47 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 162 | 160 | $0.00 |
| 1220F | 0% | 254 | 234 | $0.00 |
9 more codes
| 88187 | 0% | 151 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 142 | $0.00 |
| 87536 | 0% | 119 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 43 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 265 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 43 | $0.00 |
| 87522 | Neg quan hep c or qual rna | 0% | 29 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 16 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 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.