1114082518

1114082518 was paid $4K by Medicaid between Sep 2018 and Dec 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.

33Billing provider info1114082518

33aNPI1114082518

33bProvider type—

28Total paid$4K

24GClaims910

24DCodes billed5

24AFirst – last monthSep 2018 – Dec 2020

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	126	$763.28
2019	435	$2K
2020	349	$2K

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	97%	831	701	$4K
Q2035	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	2.1%	13	12	$90.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	22	22	$40.00
G0008	Administration of influenza virus vaccine	0%	26	25	$0.00
90756		0%	18	18	$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.