Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20189,991$284K
20199,751$250K
20208,875$202K
20217,793$199K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.