1093818551

1093818551 was paid $561K by Medicaid between Jan 2018 and Jun 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider info1093818551

33aNPI1093818551

33bProvider type—

28Total paid$561K

24GClaims24,626

24DCodes billed19

24AFirst – last monthJan 2018 – Jun 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	7,257	$250K
2019	2,803	$46K
2020	2,470	$38K
2021	3,729	$69K
2022	4,091	$79K
2023	3,155	$57K
2024incomplete	1,121	$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	38%	6,244	4,496	$214K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	13%	996	451	$71K
78815	Positron emission tomography (PET) for limited area imaging	9.3%	46	39	$52K
J2469	Injection, palonosetron hcl, 25 mcg	7.3%	104	41	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.1%	1,738	1,315	$40K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	6.2%	6,941	4,178	$35K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.5%	2,380	445	$31K
J1626	Injection, granisetron hydrochloride, 100 mcg	4.3%	168	61	$24K
36415	Collection of venous blood by venipuncture	2.2%	3,112	1,680	$12K
96367		2.1%	349	169	$12K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.3%	277	140	$7K
96375	Therapeutic injection; each additional sequential IV push	1.2%	388	210	$7K

7 more codes

99215	Doctor's office visit, returning patient (complex)	1.1%	152	$6K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	226	$5K
96415		<1%	48	$2K
96523		<1%	423	$1K
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	<1%	681	$434.65
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	193	$328.82
G9678	Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement	0%	160	$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.