1184673105

1184673105 was paid $532K by Medicaid between Jan 2018 and Nov 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider info1184673105

33aNPI1184673105

33bProvider type—

28Total paid$532K

24GClaims14,322

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 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	4,047	$149K
2019	4,556	$163K
2020	2,631	$95K
2021	3,088	$126K

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	20%	4,487	4,112	$108K
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	19%	2,883	2,851	$99K
95911		13%	1,157	1,052	$72K
95816		13%	837	836	$67K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	11%	1,211	1,210	$57K
95886		9.9%	1,188	1,084	$53K
95957		9.5%	807	785	$50K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.7%	731	731	$25K
93040		<1%	540	539	$2K
3288F		0%	161	161	$0.00
1100F		0%	160	160	$0.00
1101F		0%	160	160	$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.