1205983202

1205983202 was paid $330K by Medicaid between Jan 2018 and Apr 2023, across 36 billing codes. Its largest line is 99444, — 60% of everything it billed.

33Billing provider info1205983202

33aNPI1205983202

33bProvider type—

28Total paid$330K

24GClaims18,607

24DCodes billed36

24AFirst – last monthJan 2018 – Apr 2023

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	5,840	$100K
2019	5,770	$132K
2020	2,393	$22K
2021	2,650	$34K
2022	1,582	$29K
2023	372	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99444		60%	3,474	963	$199K
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	22%	3,329	2,945	$71K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	2,319	2,152	$38K
99421		2.7%	1,019	364	$9K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.6%	2,097	359	$5K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	1,651	1,650	$3K
93000		<1%	335	318	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	300	293	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	424	399	$705.84
99091		<1%	35	35	$386.75
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	685	93	$295.69
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	16	16	$180.78

24 more codes

99496		<1%	13	$168.36
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	<1%	175	$164.73
90674		<1%	47	$22.66
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	13	$9.95
81002		<1%	27	$5.84
82962		0%	1,044	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	54	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	445	$0.00
1101F		0%	92	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	13	$0.00
99458		0%	38	$0.00
99457		0%	127	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	78	$0.00
1036F		0%	86	$0.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	155	$0.00
99454		0%	50	$0.00
G0008	Administration of influenza virus vaccine	0%	120	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	26	$0.00
99233	Hospital visit by a doctor, follow-up day (complex)	0%	88	$0.00
77080		0%	12	$0.00
3288F		0%	91	$0.00
G8598	Aspirin or another antiplatelet therapy used	0%	44	$0.00
90756		0%	53	$0.00
Q2037	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	0%	32	$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.