Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NPI 1124296413
NPI deactivated

1124296413

1124296413 was paid $295K by Medicaid between Jan 2018 and Apr 2022, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider info1124296413
33aNPI1124296413
33bProvider type—
28Total paid$295K
24GClaims6,200
24DCodes billed19
24AFirst – last monthJan 2018 – Apr 2022
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20183,233$145K
2019958$50K
20201,041$45K
2021708$41K
2022260$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 769 700 $96K
Z1034 21% 1,166 686 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14% 446 405 $42K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10% 112 94 $31K
Z1032 8.2% 155 155 $24K
Z6500 3.5% 84 84 $10K
Z6400 2.1% 430 384 $6K
99000 2.1% 1,794 1,639 $6K
Z6304 2.0% 406 329 $6K
Z6410 1.7% 304 250 $5K
Z6404 <1% 178 155 $2K
Z6204 <1% 153 132 $2K
7 more codes
Z6406 <1% 28 $410.29
81025 <1% 109 $278.42
Z6202 <1% 12 $181.68
Z6414 <1% 14 $181.68
Z6308 <1% 14 $105.98
Z6208 <1% 13 $98.41
88143 <1% 13 $47.60

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.