1063460970

1063460970 was paid $827K by Medicaid between Jan 2018 and Nov 2023, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider info1063460970

33aNPI1063460970

33bProvider type—

28Total paid$827K

24GClaims38,838

24DCodes billed31

24AFirst – last monthJan 2018 – Nov 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	4,227	$170K
2019	4,091	$189K
2020	2,996	$141K
2021	7,287	$148K
2022	12,040	$157K
2023	8,197	$22K

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	53%	6,322	5,701	$434K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	4,140	3,739	$223K
99199	Unlisted special service, procedure or report	8.4%	21,264	20,371	$69K
90460	Immunization administration through 18 years of age via any route, first or only component	2.9%	617	583	$24K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.8%	793	746	$14K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.6%	146	137	$13K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.3%	104	94	$11K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	125	116	$8K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	245	234	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	335	148	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	577	520	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	233	219	$3K

19 more codes

87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	98	$3K
90686		<1%	767	$3K
90472	Immunization administration, each additional vaccine (list separately)	<1%	75	$2K
36415	Collection of venous blood by venipuncture	<1%	773	$1K
99442		<1%	32	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	12	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	28	$1K
90674		<1%	133	$537.01
92551		<1%	803	$319.34
90461		<1%	30	$267.06
99173		<1%	854	$252.72
83036	Hemoglobin; glycosylated (A1C)	<1%	29	$201.12
81003		<1%	92	$138.61
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	12	$0.00
G8541	Functional outcome assessment using a standardized tool not documented, reason not given	0%	72	$0.00
G8482	Influenza immunization administered or previously received	0%	17	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	58	$0.00
90670		0%	19	$0.00
G8732	No documentation of pain assessment, reason not given	0%	33	$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.