1063881126

1063881126 was paid $163K by Medicaid between Mar 2018 and May 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider info1063881126

33aNPI1063881126

33bProvider type—

28Total paid$163K

24GClaims3,171

24DCodes billed17

24AFirst – last monthMar 2018 – May 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	235	$13K
2019	692	$32K
2020	190	$9K
2021	328	$15K
2022	587	$29K
2023	750	$42K
2024incomplete	389	$23K

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	76%	2,013	1,806	$124K
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	14%	272	247	$23K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.3%	86	82	$7K
90686		2.6%	350	334	$4K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.1%	27	24	$2K
90677		<1%	14	14	$883.01
96127		<1%	106	86	$504.80
90685		<1%	13	13	$162.18
96160		<1%	63	59	$150.73
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	17	14	$139.57
90672		<1%	12	12	$129.01
96161		<1%	46	44	$102.24

5 more codes

99173		<1%	26	$60.38
99000		<1%	51	$59.96
1127F		0%	13	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	14	$0.00
1128F		0%	48	$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.