1215029442

1215029442 was paid $335K by Medicaid between Jan 2018 and Mar 2022, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider info1215029442

33aNPI1215029442

33bProvider type—

28Total paid$335K

24GClaims15,208

24DCodes billed22

24AFirst – last monthJan 2018 – Mar 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	4,396	$92K
2019	4,087	$89K
2020	3,136	$74K
2021	2,937	$64K
2022	652	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	4,365	3,811	$121K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	17%	1,054	1,009	$56K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	791	727	$43K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	753	704	$39K
3008F		10.0%	3,656	3,421	$33K
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	3.0%	222	198	$10K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.0%	814	778	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	253	229	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.6%	111	105	$5K
90686		1.5%	1,737	1,646	$5K
90672		<1%	152	148	$2K
0072A		<1%	50	31	$1K

10 more codes

0071A		<1%	42	$954.00
90670		<1%	192	$658.52
90698		<1%	177	$599.44
0002A		<1%	13	$343.44
99188		<1%	32	$331.21
90685		<1%	94	$294.22
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	16	$183.82
91300		<1%	69	$0.08
91307		<1%	109	$0.02
99174		0%	506	$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.