Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1124110044

1124110044 was paid $312K by Medicaid between Jan 2018 and May 2021, across 31 billing codes. Its largest line is 99444, — 52% of everything it billed.

33Billing provider info1124110044
33aNPI1124110044
33bProvider type—
28Total paid$312K
24GClaims20,928
24DCodes billed31
24AFirst – last monthJan 2018 – May 2021
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20188,853$128K
20197,081$112K
20203,955$37K
20211,039$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99444 52% 3,004 811 $163K
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 30% 4,947 4,491 $93K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 2,971 2,542 $37K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.1% 1,101 1,088 $6K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1.7% 1,898 1,898 $5K
99421 1.0% 886 223 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 296 284 $2K
CP003 <1% 180 134 $1K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans <1% 201 201 $1K
90686 <1% 117 116 $233.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 25 25 $92.03
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 14 $66.34
19 more codes
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 57 $36.25
81002 <1% 189 $5.40
3725F 0% 390 $0.00
0521F 0% 412 $0.00
90756 0% 296 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 39 $0.00
77080 0% 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 31 $0.00
36415 Collection of venous blood by venipuncture 0% 1,505 $0.00
G0008 Administration of influenza virus vaccine 0% 395 $0.00
1036F 0% 275 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 163 $0.00
1126F 0% 227 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 289 $0.00
1111F 0% 51 $0.00
1125F 0% 589 $0.00
4010F 0% 120 $0.00
3044F 0% 220 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 26 $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.