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NPI 1235168949
NPI deactivated
1235168949
1235168949 was paid $490K by Medicaid between Jan 2018 and Apr 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider info1235168949
33aNPI1235168949
33bProvider type—
28Total paid$490K
24GClaims11,641
24DCodes billed15
24AFirst – last monthJan 2018 – Apr 2022
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 | 2,913 | $113K | |
| 2019 | 2,790 | $109K | |
| 2020 | 2,439 | $99K | |
| 2021 | 2,688 | $122K | |
| 2022 | 811 | $47K |
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 | 38% | 6,736 | 6,014 | $184K |
| 95816 | 19% | 962 | 773 | $94K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 2,012 | 1,634 | $88K |
| 95910 | 5.2% | 258 | 227 | $25K | |
| 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 | 4.3% | 529 | 450 | $21K |
| 95951 | 4.2% | 87 | 15 | $21K | |
| 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 | 4.2% | 307 | 270 | $21K |
| 95886 | 3.5% | 395 | 338 | $17K | |
| 95716 | 1.5% | 21 | 15 | $7K | |
| 95885 | <1% | 137 | 121 | $4K | |
| 95909 | <1% | 98 | 58 | $3K | |
| 95720 | <1% | 21 | 15 | $3K |
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.