Sales, Eric

Sales, Eric was paid $13K by Medicaid between Jun 2021 and Jun 2021, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

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
2021	276	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	79	70	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	15%	18	18	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	14%	41	41	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	16	16	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	10%	14	13	$1K
92567		3.5%	35	31	$449.75
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.7%	29	29	$216.42
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	14	$85.28
90700		0%	15	15	$0.00
90713		0%	15	15	$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.