1114918331

1114918331 was paid $81K by Medicaid between Jan 2018 and Dec 2021, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 36% of everything it billed.

33Billing provider info1114918331

33aNPI1114918331

33bProvider type—

28Total paid$81K

24GClaims4,365

24DCodes billed7

24AFirst – last monthJan 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	514	$7K
2019	1,608	$30K
2020	1,292	$26K
2021	951	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	36%	1,095	1,094	$29K
88305	Level IV - Surgical pathology, gross and microscopic examination	20%	647	595	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	1,226	1,165	$13K
17004		11%	148	141	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.8%	574	574	$8K
11901		6.1%	547	520	$5K
10040		1.1%	128	123	$905.91

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.