1205191418

1205191418 was paid $22K by Medicaid between Feb 2018 and Nov 2022, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.

33Billing provider info1205191418

33aNPI1205191418

33bProvider type—

28Total paid$22K

24GClaims574

24DCodes billed11

24AFirst – last monthFeb 2018 – Nov 2022

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	136	$652.30
2019	12	$33.49
2020	56	$2K
2021	169	$9K
2022	201	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	83%	355	315	$18K
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	13%	27	27	$3K
93000		2.2%	76	70	$476.44
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	17	12	$328.70
G8442	Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter	0%	15	15	$0.00
G8541	Functional outcome assessment using a standardized tool not documented, reason not given	0%	15	15	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	15	15	$0.00
G8432	Depression screening not documented, reason not given	0%	13	13	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	13	13	$0.00
1036F		0%	14	14	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	14	14	$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.