1235165101

1235165101 was paid $45K by Medicaid between Apr 2018 and Nov 2018, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider info1235165101

33aNPI1235165101

33bProvider type—

28Total paid$45K

24GClaims993

24DCodes billed10

24AFirst – last monthApr 2018 – Nov 2018

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	993	$45K

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	83%	622	544	$38K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.7%	141	131	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.3%	73	73	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.5%	12	12	$1K
90472	Immunization administration, each additional vaccine (list separately)	2.4%	52	51	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.1%	13	13	$954.07
99401		<1%	14	14	$217.63
81025		<1%	12	12	$83.76
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	42	40	$63.07
J1094	Injection, dexamethasone acetate, 1 mg	<1%	12	12	$4.95

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.