1265465355

1265465355 was paid $328.72 by Medicaid between Jan 2018 and Aug 2021, across 11 billing codes. Its largest line is 99442, — 100% of everything it billed.

33Billing provider info1265465355

33aNPI1265465355

33bProvider type—

28Total paid$328.72

24GClaims577

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 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	61	$0.00
2019	56	$0.00
2020	133	$328.72
2021	327	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99442		100%	71	69	$328.72
36415	Collection of venous blood by venipuncture	0%	38	38	$0.00
1126F		0%	50	50	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	19	16	$0.00
97802		0%	50	50	$0.00
94760		0%	41	41	$0.00
3008F		0%	49	49	$0.00
99173		0%	23	23	$0.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	26	26	$0.00
92502		0%	50	50	$0.00
99080		0%	160	42	$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.