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NPI 1215131065
NPI deactivated
1215131065
1215131065 was paid $655K by Medicaid between Jan 2018 and Jul 2023, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider info1215131065
33aNPI1215131065
33bProvider type—
28Total paid$655K
24GClaims73,268
24DCodes billed72
24AFirst – last monthJan 2018 – Jul 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 | 2,500 | $13K | |
| 2019 | 20,786 | $171K | |
| 2020 | 20,082 | $158K | |
| 2021 | 15,449 | $143K | |
| 2022 | 13,071 | $141K | |
| 2023 | 1,380 | $30K |
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 | 37% | 9,011 | 7,916 | $243K |
| 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 | 14% | 3,650 | 3,023 | $89K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 940 | 914 | $72K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.5% | 799 | 788 | $62K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 595 | 589 | $47K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 1,178 | 1,104 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 3,281 | 3,195 | $21K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.8% | 297 | 272 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 211 | 203 | $17K |
| 97802 | 2.4% | 2,023 | 1,988 | $16K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 173 | 147 | $9K |
| 99441 | 1.0% | 731 | 702 | $7K |
60 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 58 | $4K |
| 93000 | <1% | 1,584 | $4K | |
| 99385 | <1% | 67 | $2K | |
| 99442 | <1% | 93 | $1K | |
| 99382 | <1% | 12 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $999.09 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 61 | $841.97 |
| 90686 | <1% | 1,471 | $817.46 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 254 | $589.94 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 39 | $553.61 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 144 | $511.05 |
| 36415 | Collection of venous blood by venipuncture | <1% | 188 | $460.00 |
| 90461 | <1% | 998 | $132.61 | |
| 81003 | <1% | 192 | $105.82 | |
| 99490 | Ccm add 20min | <1% | 90 | $94.35 |
| 1126F | <1% | 5,466 | $88.31 | |
| 3074F | <1% | 4,578 | $50.46 | |
| 3288F | <1% | 1,287 | $50.44 | |
| 90651 | <1% | 338 | $50.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $39.68 |
| 90620 | <1% | 114 | $30.00 | |
| 3075F | <1% | 1,259 | $25.22 | |
| 3077F | <1% | 920 | $25.22 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,644 | $23.47 |
| 36416 | <1% | 33 | $12.61 | |
| 1159F | <1% | 5,094 | $12.61 | |
| 90670 | <1% | 254 | $10.04 | |
| 92567 | <1% | 2,074 | $8.18 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 60 | $0.25 |
| 1160F | <1% | 6,537 | $0.01 | |
| 3078F | <1% | 4,724 | $0.01 | |
| 3079F | 0% | 1,852 | $0.00 | |
| 1101F | 0% | 1,081 | $0.00 | |
| 3044F | 0% | 226 | $0.00 | |
| 90723 | 0% | 38 | $0.00 | |
| 1125F | 0% | 721 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,747 | $0.00 |
| 96127 | 0% | 293 | $0.00 | |
| 3080F | 0% | 130 | $0.00 | |
| 1170F | 0% | 837 | $0.00 | |
| 1036F | 0% | 37 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 27 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 133 | $0.00 |
| 3008F | 0% | 198 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 45 | $0.00 |
| 99173 | 0% | 1,906 | $0.00 | |
| 3725F | 0% | 107 | $0.00 | |
| 90648 | 0% | 148 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 16 | $0.00 |
| 1158F | 0% | 401 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 227 | $0.00 |
| 90707 | 0% | 40 | $0.00 | |
| 90685 | 0% | 76 | $0.00 | |
| 90734 | 0% | 164 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 161 | $0.00 |
| 90713 | 0% | 12 | $0.00 | |
| 90633 | 0% | 55 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 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.