1124071782

1124071782 was paid $224K by Medicaid between Jan 2018 and Jan 2020, across 22 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 30% of everything it billed.

33Billing provider info1124071782

33aNPI1124071782

33bProvider type—

28Total paid$224K

24GClaims13,749

24DCodes billed22

24AFirst – last monthJan 2018 – Jan 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	5,640	$77K
2019	7,733	$140K
2020	376	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	30%	2,438	651	$67K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	18%	1,320	1,305	$41K
99205	Prolong outpt/office vis	11%	503	503	$25K
99255		10%	281	275	$23K
94200		5.6%	2,553	2,523	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	704	700	$9K
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	3.8%	317	316	$8K
94010		3.6%	535	535	$8K
95800		3.4%	293	290	$8K
71046	Radiologic examination, chest; 2 views	3.3%	638	638	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.1%	494	118	$7K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.5%	31	31	$3K

10 more codes

99223	Prolong inpt eval add15 m	1.1%	51	$2K
95811		<1%	12	$1K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	12	$1K
99204	Doctor's office visit, new patient (more involved)	<1%	12	$391.67
90688		<1%	26	$252.17
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	$85.24
99406		<1%	27	$58.41
94760		<1%	3,388	$47.32
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	0%	86	$0.00
G0008	Administration of influenza virus vaccine	0%	14	$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.