1265488068

1265488068 was paid $44K by Medicaid between Jan 2018 and Mar 2018, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider info1265488068

33aNPI1265488068

33bProvider type—

28Total paid$44K

24GClaims2,502

24DCodes billed27

24AFirst – last monthJan 2018 – Mar 2018

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	2,502	$44K

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	72%	712	568	$32K
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	9.6%	65	65	$4K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.0%	40	37	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.9%	20	20	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.5%	14	14	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	2.2%	57	56	$963.06
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.0%	68	67	$448.00
96127		<1%	85	80	$396.98
90686		<1%	26	25	$361.57
90472	Immunization administration, each additional vaccine (list separately)	<1%	15	14	$154.00
81025		<1%	14	13	$61.62
81002		<1%	27	25	$27.50

15 more codes

G8754	Most recent diastolic blood pressure < 90 mmhg	0%	68	$0.00
1036F		0%	170	$0.00
1101F		0%	22	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	50	$0.00
3014F		0%	16	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	58	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	172	$0.00
G8536	No documentation of an elder maltreatment screen, reason not given	0%	24	$0.00
1123F		0%	22	$0.00
G8482	Influenza immunization administered or previously received	0%	155	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	19	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	228	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	59	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	196	$0.00
4004F		0%	100	$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.