1114320074

1114320074 was paid $192K by Medicaid between Feb 2018 and Dec 2021, across 9 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 76% of everything it billed.

33Billing provider info1114320074

33aNPI1114320074

33bProvider type—

28Total paid$192K

24GClaims4,530

24DCodes billed9

24AFirst – last monthFeb 2018 – Dec 2021

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	578	$35K
2019	561	$28K
2020	1,038	$49K
2021	2,353	$80K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	76%	3,330	1,611	$145K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.2%	206	195	$14K
G9009	Coordinated care fee, risk adjusted maintenance, level 3	6.5%	36	36	$12K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	4.2%	276	164	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.6%	155	150	$7K
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	1.4%	302	85	$3K
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	<1%	14	14	$1K
99368		<1%	187	187	$1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	24	24	$595.68

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.