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NPI 1174690101
NPI deactivated
1174690101
1174690101 was paid $5K by Medicaid between Jan 2018 and Feb 2020, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider info1174690101
33aNPI1174690101
33bProvider type—
28Total paid$5K
24GClaims7,273
24DCodes billed30
24AFirst – last monthJan 2018 – Feb 2020
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 | 3,560 | $2K | |
| 2019 | 3,005 | $2K | |
| 2020 | 708 | $270.12 |
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 | 62% | 706 | 660 | $3K |
| 3074F | 15% | 449 | 414 | $722.50 | |
| 3078F | 8.9% | 314 | 292 | $440.50 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 6.4% | 43 | 41 | $320.00 |
| 3044F | 3.5% | 446 | 410 | $176.00 | |
| 3048F | 1.3% | 139 | 127 | $64.00 | |
| 1126F | <1% | 65 | 61 | $44.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 133 | 131 | $36.00 |
| 1159F | <1% | 106 | 101 | $35.00 | |
| 1160F | <1% | 106 | 101 | $17.50 | |
| 3079F | <1% | 32 | 28 | $16.00 | |
| 1125F | <1% | 12 | 12 | $10.00 |
18 more codes
| 3049F | <1% | 59 | $8.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 69 | $3.75 |
| 3008F | <1% | 441 | $0.10 | |
| 3062F | <1% | 332 | $0.05 | |
| 3725F | 0% | 118 | $0.00 | |
| 77057 | 0% | 20 | $0.00 | |
| 3016F | 0% | 64 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 45 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 62 | $0.00 |
| 0521F | 0% | 46 | $0.00 | |
| 2001F | 0% | 772 | $0.00 | |
| 2000F | 0% | 806 | $0.00 | |
| 1036F | 0% | 272 | $0.00 | |
| 2010F | 0% | 771 | $0.00 | |
| G8725 | Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol) | 0% | 84 | $0.00 |
| 1000F | 0% | 576 | $0.00 | |
| 3060F | 0% | 44 | $0.00 | |
| 3014F | 0% | 141 | $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.