1225107568

1225107568 was paid $1.44M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider info1225107568

33aNPI1225107568

33bProvider type—

28Total paid$1.44M

24GClaims27,423

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

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	4,435	$228K
2019	4,780	$232K
2020	4,563	$232K
2021	4,634	$265K
2022	3,737	$212K
2023	2,972	$170K
2024incomplete	2,302	$103K

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	87%	21,880	18,897	$1.26M
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.6%	658	647	$52K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.0%	641	629	$43K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.4%	474	466	$35K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.4%	1,148	1,128	$20K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	145	142	$10K
86580		<1%	1,643	1,618	$9K
90660		<1%	448	436	$9K
90658		<1%	208	208	$3K
92551		<1%	119	119	$849.60
99080		0%	46	44	$0.00
90633		0%	13	13	$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.