1205939006

1205939006 was paid $18K by Medicaid between Dec 2018 and Dec 2020, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider info1205939006

33aNPI1205939006

33bProvider type—

28Total paid$18K

24GClaims4,977

24DCodes billed20

24AFirst – last monthDec 2018 – Dec 2020

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	146	$731.03
2019	2,940	$11K
2020	1,891	$6K

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	63%	497	353	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	239	200	$2K
1160F		7.6%	1,097	876	$1K
36415	Collection of venous blood by venipuncture	5.2%	523	420	$922.09
3008F		3.7%	725	550	$658.84
1159F		3.4%	1,155	911	$605.32
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.6%	32	17	$466.32
99442		<1%	14	13	$176.54
1000F		<1%	197	155	$50.44
1125F		<1%	47	39	$25.22
1220F		<1%	217	166	$25.22
93922		<1%	14	14	$12.61

8 more codes

3016F	0%	60	$0.00
4013F	0%	31	$0.00
3288F	0%	12	$0.00
3078F	0%	14	$0.00
1036F	0%	62	$0.00
4010F	0%	14	$0.00
82962	0%	15	$0.00
93000	0%	12	$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.