1114000494

1114000494 was paid $1.75M by Medicaid between Jan 2018 and Dec 2022, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider info1114000494

33aNPI1114000494

33bProvider type—

28Total paid$1.75M

24GClaims52,219

24DCodes billed67

24AFirst – last monthJan 2018 – Dec 2022

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	6,295	$220K
2019	9,430	$314K
2020	10,749	$374K
2021	12,603	$429K
2022	13,142	$412K

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	42%	11,085	9,673	$738K
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	29%	6,211	5,500	$509K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	11%	1,554	1,525	$199K
99442		2.5%	652	588	$44K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.4%	2,445	2,363	$41K
93000		2.2%	2,861	2,833	$39K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.0%	295	290	$35K
90750		1.1%	181	180	$19K
90686		<1%	1,248	1,248	$17K
99443		<1%	120	113	$11K
82270		<1%	3,220	1,272	$10K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,988	1,945	$9K

55 more codes

95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	21	$8K
36415	Collection of venous blood by venipuncture	<1%	6,588	$8K
90688		<1%	521	$7K
91200		<1%	304	$7K
99072		<1%	539	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	205	$6K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	156	$5K
95911		<1%	16	$3K
77080		<1%	79	$3K
99401		<1%	98	$2K
95943		<1%	18	$2K
93922		<1%	19	$2K
99497		<1%	65	$2K
99397		<1%	52	$2K
95923		<1%	18	$2K
3074F		<1%	983	$2K
0012A		<1%	35	$1K
3078F		<1%	870	$1K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	38	$1K
94060		<1%	13	$884.98
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	32	$868.54
90715		<1%	13	$483.96
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	43	$389.10
0011A		<1%	21	$386.40
81002		<1%	174	$382.99
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	<1%	758	$330.00
77085		<1%	16	$317.60
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	13	$309.41
86328		<1%	12	$228.79
G0444	Annual depression screening, 5 to 15 minutes	<1%	15	$198.29
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	13	$171.69
3079F		<1%	95	$171.50
90472	Immunization administration, each additional vaccine (list separately)	<1%	13	$164.26
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	32	$138.00
3075F		<1%	67	$127.50
82948		<1%	30	$119.55
1159F		<1%	1,210	$115.00
1160F		<1%	1,217	$112.50
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	516	$80.00
3044F		<1%	1,028	$45.00
82272		<1%	38	$36.66
G0008	Administration of influenza virus vaccine	<1%	242	$30.74
99000		<1%	191	$20.23
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	566	$12.00
3049F		<1%	57	$9.00
91301		<1%	27	$0.02
2000F		0%	254	$0.00
1036F		0%	1,302	$0.00
3008F		0%	632	$0.00
4037F		0%	751	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	220	$0.00
3048F		0%	82	$0.00
1034F		0%	12	$0.00
3351F		0%	14	$0.00
3725F		0%	15	$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.