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NPI 1215952148
NPI deactivated
1215952148
1215952148 was paid $935K by Medicaid between Jan 2018 and Nov 2021, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider info1215952148
33aNPI1215952148
33bProvider type—
28Total paid$935K
24GClaims36,410
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2021
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 | 9,991 | $284K | |
| 2019 | 9,751 | $250K | |
| 2020 | 8,875 | $202K | |
| 2021 | 7,793 | $199K |
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 | 68% | 14,242 | 12,567 | $639K |
| 99307 | 12% | 9,729 | 1,831 | $110K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 2,475 | 2,307 | $89K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.9% | 2,424 | 577 | $37K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.6% | 1,052 | 85 | $24K |
| 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% | 178 | 164 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 398 | 357 | $5K |
| 90686 | <1% | 361 | 327 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 47 | 47 | $3K |
| 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 | <1% | 38 | 37 | $3K |
| 94375 | <1% | 101 | 93 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,151 | 1,093 | $2K |
26 more codes
| 90674 | <1% | 69 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 325 | $1K |
| 99304 | <1% | 59 | $1K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 32 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 83 | $852.05 |
| 99443 | <1% | 44 | $725.52 | |
| 99442 | <1% | 41 | $689.23 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 43 | $613.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 52 | $600.00 |
| 99318 | <1% | 20 | $346.94 | |
| 80061 | Lipid panel | <1% | 78 | $117.38 |
| 96127 | <1% | 55 | $115.12 | |
| 94760 | <1% | 589 | $90.33 | |
| 80053 | Comprehensive metabolic panel | <1% | 78 | $42.60 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 31 | $33.89 |
| 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% | 17 | $20.21 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 45 | $14.90 |
| 3008F | 0% | 1,172 | $0.00 | |
| 3074F | 0% | 183 | $0.00 | |
| 3079F | 0% | 290 | $0.00 | |
| 3075F | 0% | 252 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 41 | $0.00 |
| 3044F | 0% | 204 | $0.00 | |
| 3078F | 0% | 340 | $0.00 | |
| 90662 | 0% | 16 | $0.00 | |
| 3077F | 0% | 55 | $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.