1134589484

1134589484 was paid $500K by Medicaid between Jan 2018 and Apr 2024, across 34 billing codes. Its largest line is 76881, — 34% of everything it billed.

33Billing provider info1134589484

33aNPI1134589484

33bProvider type—

28Total paid$500K

24GClaims27,902

24DCodes billed34

24AFirst – last monthJan 2018 – Apr 2024

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	6,561	$94K
2019	6,611	$108K
2020	3,889	$79K
2021	4,872	$87K
2022	3,368	$80K
2023	2,497	$50K
2024incomplete	104	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76881		34%	2,978	1,633	$171K
64632		23%	3,151	1,115	$117K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	4,374	3,015	$110K
11721		7.6%	2,697	2,452	$38K
29580		6.9%	1,660	695	$34K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	220	202	$8K
29540		1.5%	706	250	$8K
20550		1.3%	435	175	$6K
17110		<1%	58	40	$3K
11056		<1%	132	114	$2K
11000		<1%	51	36	$875.40
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	670	353	$827.28

22 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	68	$484.12
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	650	$309.61
11720		<1%	42	$290.16
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	322	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	730	$0.00
4040F		0%	1,467	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	1,314	$0.00
3077F		0%	136	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	732	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	314	$0.00
4004F		0%	201	$0.00
3078F		0%	29	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	722	$0.00
1036F		0%	677	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	2,784	$0.00
3079F		0%	61	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	241	$0.00
3080F		0%	113	$0.00
3075F		0%	13	$0.00
3074F		0%	103	$0.00
G9226	Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)	0%	26	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	25	$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.