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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
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 | 3,233 | $145K | |
| 2019 | 958 | $50K | |
| 2020 | 1,041 | $45K | |
| 2021 | 708 | $41K | |
| 2022 | 260 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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
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.