1205829579

1205829579 was paid $4.40M by Medicaid between Jan 2018 and May 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider info1205829579

33aNPI1205829579

33bProvider type—

28Total paid$4.40M

24GClaims95,752

24DCodes billed41

24AFirst – last monthJan 2018 – May 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	15,124	$655K
2019	17,194	$747K
2020	17,258	$665K
2021	14,785	$674K
2022	13,656	$707K
2023	13,490	$730K
2024incomplete	4,245	$225K

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	34%	32,832	32,062	$1.49M
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	18%	8,969	8,917	$776K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	21,844	20,639	$770K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.6%	4,152	4,141	$425K
95886		6.1%	5,252	3,940	$267K
99222	Initial hospital care, per day, moderate complexity	3.1%	2,863	2,812	$138K
99205	Prolong outpt/office vis	2.0%	672	670	$88K
95819		1.7%	3,342	3,127	$74K
99223	Prolong inpt eval add15 m	1.6%	1,047	1,024	$70K
95911		1.1%	537	458	$47K
99442		<1%	4,759	4,259	$41K
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%	469	467	$31K

29 more codes

99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	2,268	$28K
99232	Hospital visit by a doctor, follow-up day	<1%	1,155	$26K
95910		<1%	265	$22K
95816		<1%	327	$20K
64483		<1%	398	$17K
99443		<1%	1,764	$15K
64615		<1%	195	$14K
98940		<1%	451	$8K
95909		<1%	111	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	209	$5K
95913		<1%	29	$4K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	100	$3K
64642		<1%	213	$3K
95885		<1%	99	$3K
99441		<1%	401	$2K
95874		<1%	428	$2K
99285	Emergency room visit (most serious)	<1%	17	$1K
73130		<1%	109	$1K
62323		<1%	51	$1K
20552		<1%	35	$1K
64643		<1%	153	$1K
72110		<1%	71	$997.96
G0425	Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth	<1%	12	$987.23
90791	Psychiatric diagnostic evaluation	<1%	12	$937.76
72114		<1%	16	$319.31
G0426	Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	<1%	15	$227.63
72052		<1%	14	$175.12
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	14	$111.86
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	82	$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.