1063484814

1063484814 was paid $374K by Medicaid between Feb 2018 and Apr 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider info1063484814

33aNPI1063484814

33bProvider type—

28Total paid$374K

24GClaims5,323

24DCodes billed5

24AFirst – last monthFeb 2018 – Apr 2022

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	36	$807.18
2019	690	$68K
2020	1,541	$158K
2021	2,587	$127K
2022	469	$20K

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	46%	3,096	1,962	$172K
99243		44%	1,951	1,329	$165K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.0%	199	120	$30K
29065		1.3%	47	28	$5K
29075		<1%	30	16	$2K

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.