1245876721

1245876721 was paid $1.08M by Medicaid between Nov 2020 and Dec 2024, across 19 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 53% of everything it billed.

33Billing provider info1245876721

33aNPI1245876721

33bProvider type—

28Total paid$1.08M

24GClaims22,655

24DCodes billed19

24AFirst – last monthNov 2020 – 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
2020	924	$31K
2021	6,381	$324K
2022	6,506	$286K
2023	6,364	$299K
2024incomplete	2,480	$144K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S4993	Contraceptive pills for birth control	53%	4,483	4,052	$575K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	1,571	1,454	$119K
J1050	Injection, medroxyprogesterone acetate, 1 mg	8.9%	1,339	1,243	$96K
87806		5.1%	2,052	1,835	$56K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.7%	1,074	1,011	$51K
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	3.9%	410	348	$42K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	3.8%	3,957	3,681	$42K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	2.4%	27	25	$26K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.9%	1,440	1,330	$21K
81025		1.6%	2,272	2,079	$17K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.0%	129	95	$11K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.0%	169	137	$11K

7 more codes

87210		<1%	1,565	$8K
99050		<1%	706	$4K
83986		<1%	785	$2K
A4550	Surgical trays	<1%	484	$2K
99459		<1%	74	$1K
36415	Collection of venous blood by venipuncture	<1%	99	$241.86
81002		<1%	19	$23.36

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.