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NPI 1063520997
NPI deactivated
1063520997
1063520997 was paid $61K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99348, — 64% of everything it billed.
33Billing provider info1063520997
33aNPI1063520997
33bProvider type—
28Total paid$61K
24GClaims2,425
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
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 | 145 | $4K | |
| 2019 | 214 | $6K | |
| 2020 | 285 | $8K | |
| 2021 | 362 | $10K | |
| 2022 | 353 | $9K | |
| 2023 | 530 | $11K | |
| 2024incomplete | 536 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99348 | 64% | 1,017 | 1,012 | $39K | |
| 11721 | 17% | 614 | 609 | $10K | |
| 11056 | 9.0% | 160 | 158 | $5K | |
| 11057 | 7.3% | 133 | 133 | $4K | |
| 11000 | 2.4% | 66 | 66 | $1K | |
| 1123F | 0% | 13 | 13 | $0.00 | |
| G8410 | Footwear evaluation performed and documented | 0% | 45 | 44 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 70 | 69 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 45 | 45 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 45 | 44 | $0.00 |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | 0% | 160 | 159 | $0.00 |
| 0518F | 0% | 57 | 57 | $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.