1255635652

1255635652 was paid $1.04M by Medicaid between Jan 2018 and Oct 2021, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider info1255635652

33aNPI1255635652

33bProvider type—

28Total paid$1.04M

24GClaims7,881

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2021

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	2,498	$300K
2019	2,414	$342K
2020	1,254	$153K
2021	1,715	$242K

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	24%	2,987	2,701	$244K
95911		19%	883	814	$194K
95886		14%	901	839	$143K
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	11%	680	680	$118K
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	10%	949	937	$106K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.9%	786	785	$93K
95957		6.8%	315	305	$70K
95816		6.5%	200	200	$67K
93040		<1%	180	179	$2K

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.