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NPI 1073650677
NPI deactivated
1073650677
1073650677 was paid $698K by Medicaid between Jan 2018 and Feb 2019, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider info1073650677
33aNPI1073650677
33bProvider type—
28Total paid$698K
24GClaims73,105
24DCodes billed80
24AFirst – last monthJan 2018 – Feb 2019
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 | 64,330 | $473K | |
| 2019 | 8,775 | $225K |
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 | 38% | 10,541 | 8,393 | $268K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 20% | 5,923 | 4,682 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 4,724 | 4,204 | $92K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 3,776 | 3,618 | $36K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.4% | 1,577 | 1,512 | $17K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 1,424 | 1,358 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 472 | 458 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 528 | 515 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 379 | 364 | $11K |
| X5622 | 1.3% | 17,263 | 9,201 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 287 | 284 | $9K |
| 90688 | 1.2% | 1,045 | 1,007 | $8K |
68 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 5,181 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 161 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,741 | $4K |
| 92551 | <1% | 1,528 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,219 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,353 | $4K |
| 80061 | Lipid panel | <1% | 648 | $3K |
| 96127 | <1% | 1,347 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 90 | $2K |
| 90715 | <1% | 277 | $2K | |
| 90670 | <1% | 347 | $2K | |
| 90651 | <1% | 207 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $2K |
| 90691 | <1% | 30 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 727 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 478 | $2K |
| 80306 | <1% | 164 | $2K | |
| 81025 | <1% | 545 | $1K | |
| 99188 | <1% | 281 | $1K | |
| 99384 | <1% | 15 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 141 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 324 | $1K |
| 99173 | <1% | 1,518 | $822.51 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 355 | $810.81 |
| 85027 | <1% | 190 | $775.27 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 299 | $739.97 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 299 | $739.97 |
| 90734 | <1% | 164 | $732.27 | |
| 90716 | <1% | 96 | $634.75 | |
| 87210 | <1% | 312 | $563.58 | |
| 96161 | <1% | 614 | $533.43 | |
| 90662 | <1% | 39 | $476.62 | |
| 85018 | <1% | 544 | $441.16 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 106 | $430.50 |
| 36416 | <1% | 259 | $427.38 | |
| 90686 | <1% | 435 | $387.01 | |
| 81001 | <1% | 247 | $298.96 | |
| 81003 | <1% | 399 | $249.15 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | $206.40 |
| 80076 | <1% | 66 | $192.26 | |
| 93000 | <1% | 41 | $162.37 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 126 | $157.50 |
| G0008 | Administration of influenza virus vaccine | <1% | 53 | $143.60 |
| 82043 | <1% | 29 | $130.44 | |
| 82570 | <1% | 42 | $123.24 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 61 | $120.00 |
| 80305 | <1% | 84 | $46.35 | |
| 87650 | <1% | 39 | $24.36 | |
| 90474 | <1% | 13 | $13.20 | |
| 87340 | <1% | 85 | $12.55 | |
| 90685 | <1% | 109 | $0.45 | |
| 83655 | 0% | 256 | $0.00 | |
| 90648 | 0% | 273 | $0.00 | |
| 90633 | 0% | 186 | $0.00 | |
| 90681 | 0% | 58 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 51 | $0.00 |
| 90710 | 0% | 12 | $0.00 | |
| 90700 | 0% | 28 | $0.00 | |
| 90687 | 0% | 15 | $0.00 | |
| 90707 | 0% | 28 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 224 | $0.00 |
| 90723 | 0% | 204 | $0.00 | |
| 86592 | 0% | 239 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 14 | $0.00 |
| 99000 | 0% | 12 | $0.00 | |
| 86706 | 0% | 14 | $0.00 | |
| 86803 | 0% | 14 | $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.