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NPI 1184667396
NPI deactivated
1184667396
1184667396 was paid $262K by Medicaid between Jan 2018 and Jun 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider info1184667396
33aNPI1184667396
33bProvider type—
28Total paid$262K
24GClaims18,486
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 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 | 3,662 | $70K | |
| 2019 | 2,864 | $41K | |
| 2020 | 2,182 | $29K | |
| 2021 | 3,036 | $36K | |
| 2022 | 2,637 | $31K | |
| 2023 | 2,614 | $33K | |
| 2024incomplete | 1,491 | $21K |
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 | 31% | 2,009 | 1,667 | $81K |
| 11721 | 19% | 6,616 | 6,034 | $50K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13% | 1,861 | 1,614 | $33K |
| 11720 | 10% | 3,168 | 2,946 | $27K | |
| 11056 | 9.8% | 1,231 | 1,076 | $26K | |
| 11719 | 5.6% | 2,256 | 1,933 | $15K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.2% | 267 | 244 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 81 | 70 | $4K |
| 99307 | 1.4% | 368 | 332 | $4K | |
| 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) | 1.3% | 161 | 159 | $3K |
| 11055 | 1.1% | 212 | 192 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 83 | 79 | $1K |
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.