1164511945

1164511945 was paid $15K by Medicaid between Feb 2018 and Nov 2019, across 4 billing codes. Its largest line is 81000, — 45% of everything it billed.

33Billing provider info1164511945

33aNPI1164511945

33bProvider type—

28Total paid$15K

24GClaims554

24DCodes billed4

24AFirst – last monthFeb 2018 – Nov 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	489	$11K
2019	65	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
81000		45%	292	253	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	37%	222	196	$5K
51700		12%	15	14	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.5%	25	21	$956.74

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.