Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1194702100

1194702100 was paid $13K by Medicaid between Jan 2018 and May 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider info1194702100
33aNPI1194702100
33bProvider type—
28Total paid$13K
24GClaims2,352
24DCodes billed12
24AFirst – last monthJan 2018 – May 2024
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018541$5K
2019623$2K
2020539$3K
202149$260.10
2022234$458.25
2023242$354.08
2024incomplete124$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 513 461 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 39% 605 102 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 12% 256 75 $2K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 205 182 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 41 38 $0.00
G8421 Bmi not documented and no reason is given 0% 50 41 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 155 132 $0.00
1111F 0% 68 56 $0.00
1036F 0% 165 145 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 96 88 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 164 145 $0.00
G8732 No documentation of pain assessment, reason not given 0% 34 27 $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.