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NPI 1124110044
NPI deactivated
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
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 | 8,853 | $128K | |
| 2019 | 7,081 | $112K | |
| 2020 | 3,955 | $37K | |
| 2021 | 1,039 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.