1164440152

1164440152 was paid $1.59M by Medicaid between Jan 2018 and Dec 2021, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider info1164440152

33aNPI1164440152

33bProvider type—

28Total paid$1.59M

24GClaims47,924

24DCodes billed50

24AFirst – last monthJan 2018 – Dec 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	4,387	$239K
2019	9,501	$285K
2020	23,089	$705K
2021	10,947	$365K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	39%	7,433	5,132	$623K
96110	Developmental screening, with scoring and documentation, per standardized instrument	11%	2,590	2,365	$171K
96156		8.7%	2,102	1,829	$139K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	6.7%	2,383	2,121	$107K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.4%	1,500	1,134	$70K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.9%	790	740	$62K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.7%	7,708	5,282	$59K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.1%	411	359	$50K
92551		2.6%	3,123	2,782	$42K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.7%	410	388	$27K
99384		1.5%	258	245	$24K
86580		1.3%	3,318	2,966	$21K

38 more codes

92083		1.2%	798	$19K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	189	$13K
92081		<1%	276	$13K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	89	$12K
99383		<1%	157	$12K
83655		<1%	800	$11K
90649		<1%	804	$11K
90655		<1%	1,155	$10K
96150		<1%	467	$10K
90734		<1%	738	$10K
90620		<1%	690	$9K
81000		<1%	2,783	$8K
85018		<1%	2,368	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	242	$6K
90658		<1%	485	$6K
83036	Hemoglobin; glycosylated (A1C)	<1%	359	$5K
90700		<1%	323	$5K
90715		<1%	496	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	156	$3K
99000		<1%	651	$3K
99403		<1%	65	$3K
81002		<1%	263	$3K
96127		<1%	236	$3K
87070		<1%	63	$3K
99382		<1%	29	$2K
99205	Prolong outpt/office vis	<1%	12	$1K
85014		<1%	493	$1K
90461		<1%	35	$1K
90716		<1%	76	$1K
90707		<1%	97	$1K
96151		<1%	32	$999.54
36415	Collection of venous blood by venipuncture	<1%	62	$959.07
99173		<1%	278	$744.88
83518		<1%	31	$552.93
90713		<1%	56	$504.00
A4206	Syringe with needle, sterile, 1 cc or less, each	<1%	18	$140.00
90644		<1%	14	$117.00
90633		<1%	12	$108.00

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.