1154415495

1154415495 was paid $507K by Medicaid between Jan 2018 and Apr 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider info1154415495

33aNPI1154415495

33bProvider type—

28Total paid$507K

24GClaims5,955

24DCodes billed9

24AFirst – last monthJan 2018 – Apr 2019

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	3,917	$333K
2019	2,038	$173K

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	50%	3,368	3,267	$255K
99242		29%	1,530	1,530	$145K
17110		13%	562	552	$66K
11100		3.4%	158	158	$17K
11102		2.2%	81	81	$11K
11900		1.2%	107	107	$6K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	78	72	$3K
17000		<1%	31	31	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	40	39	$2K

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.