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NPI 1093962995
NPI deactivated
1093962995
1093962995 was paid $26K by Medicaid between Jan 2018 and Sep 2018, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider info1093962995
33aNPI1093962995
33bProvider type—
28Total paid$26K
24GClaims4,481
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2018
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 | 4,481 | $26K |
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 | 57% | 485 | 389 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 81 | 70 | $2K |
| 99490 | Ccm add 20min | 7.7% | 311 | 311 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 3.8% | 540 | 422 | $988.74 |
| 1126F | 3.7% | 380 | 303 | $964.18 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.7% | 77 | 52 | $956.04 |
| 36415 | Collection of venous blood by venipuncture | 3.4% | 244 | 223 | $875.91 |
| 1125F | 3.3% | 238 | 190 | $852.92 | |
| 2000F | 1.6% | 160 | 130 | $404.33 | |
| 94060 | 1.5% | 12 | 12 | $390.47 | |
| 82962 | 1.4% | 338 | 257 | $352.70 | |
| 3044F | 1.1% | 69 | 58 | $282.08 |
15 more codes
| 1036F | <1% | 418 | $190.29 | |
| 81002 | <1% | 164 | $171.00 | |
| 80305 | <1% | 30 | $147.73 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $145.85 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $119.21 |
| 3061F | <1% | 21 | $6.62 | |
| 3725F | <1% | 18 | $5.76 | |
| 4086F | <1% | 40 | $5.65 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $3.85 |
| 1159F | 0% | 300 | $0.00 | |
| 3078F | 0% | 212 | $0.00 | |
| 4013F | 0% | 17 | $0.00 | |
| 3079F | 0% | 15 | $0.00 | |
| 3074F | 0% | 247 | $0.00 | |
| 1170F | 0% | 20 | $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.