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NPI 1255335535
NPI deactivated
1255335535
1255335535 was paid $8.46M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 83970, — 33% of everything it billed.
33Billing provider info1255335535
33aNPI1255335535
33bProvider type—
28Total paid$8.46M
24GClaims1,240,130
24DCodes billed64
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 | 582,773 | $4.42M | |
| 2019 | 223,825 | $1.71M | |
| 2020 | 77,237 | $411K | |
| 2021 | 87,888 | $334K | |
| 2022 | 119,064 | $653K | |
| 2023 | 99,508 | $579K | |
| 2024incomplete | 49,835 | $356K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 83970 | 33% | 95,361 | 86,930 | $2.82M | |
| 82728 | 7.8% | 68,936 | 62,098 | $664K | |
| 84460 | 6.3% | 221,281 | 208,550 | $535K | |
| 83550 | 6.2% | 87,883 | 79,764 | $525K | |
| 83540 | 5.0% | 89,381 | 81,136 | $427K | |
| 86803 | 4.4% | 36,466 | 35,018 | $371K | |
| 83615 | 3.9% | 68,899 | 64,214 | $328K | |
| 82310 | 3.7% | 72,384 | 54,098 | $310K | |
| 84100 | 3.6% | 80,484 | 56,503 | $306K | |
| 84450 | 3.2% | 69,814 | 64,794 | $274K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.0% | 50,377 | 47,429 | $255K |
| 87340 | 2.5% | 32,614 | 29,698 | $210K |
52 more codes
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.3% | 9,005 | $194K |
| 82108 | 2.1% | 12,307 | $180K | |
| 80061 | Lipid panel | 1.4% | 15,086 | $119K |
| 84295 | 1.3% | 48,366 | $112K | |
| 84132 | 1.2% | 30,307 | $105K | |
| 86706 | 1.1% | 13,238 | $94K | |
| 85018 | <1% | 30,357 | $62K | |
| 84520 | <1% | 22,303 | $57K | |
| 86704 | <1% | 6,160 | $57K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 1,294 | $47K |
| 87522 | Neg quan hep c or qual rna | <1% | 1,647 | $41K |
| 87040 | <1% | 4,476 | $35K | |
| 80051 | <1% | 6,594 | $34K | |
| 82746 | <1% | 2,388 | $27K | |
| 82565 | <1% | 6,779 | $26K | |
| 84466 | <1% | 1,987 | $23K | |
| 82570 | <1% | 6,684 | $22K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,327 | $22K |
| 83718 | <1% | 2,907 | $21K | |
| 83735 | <1% | 5,512 | $21K | |
| 82040 | <1% | 5,701 | $18K | |
| 85045 | <1% | 5,895 | $16K | |
| 82607 | <1% | 1,393 | $16K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,396 | $14K |
| 84540 | <1% | 2,603 | $8K | |
| 84075 | <1% | 2,176 | $8K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 624 | $8K |
| 80202 | <1% | 642 | $7K | |
| 84155 | <1% | 2,251 | $6K | |
| 87070 | <1% | 933 | $6K | |
| 87186 | <1% | 1,009 | $6K | |
| 85610 | <1% | 1,650 | $4K | |
| 82247 | <1% | 1,013 | $4K | |
| 87077 | <1% | 513 | $3K | |
| 82435 | <1% | 973 | $2K | |
| 82374 | <1% | 988 | $2K | |
| 84550 | <1% | 589 | $2K | |
| 82465 | <1% | 574 | $2K | |
| 82947 | <1% | 500 | $2K | |
| 82248 | <1% | 369 | $2K | |
| 87205 | <1% | 485 | $2K | |
| 82945 | <1% | 641 | $2K | |
| 84478 | <1% | 434 | $1K | |
| 85014 | <1% | 824 | $1K | |
| 87147 | <1% | 339 | $1K | |
| 89051 | <1% | 340 | $1K | |
| 84439 | <1% | 29 | $209.58 | |
| 85049 | <1% | 103 | $197.00 | |
| 84436 | <1% | 35 | $111.16 | |
| 85041 | <1% | 53 | $29.31 | |
| 85048 | <1% | 54 | $27.55 | |
| 99080 | 0% | 397 | $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.