1265521165

1265521165 was paid $383K by Medicaid between Jan 2018 and Sep 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.

33Billing provider info1265521165

33aNPI1265521165

33bProvider type—

28Total paid$383K

24GClaims8,277

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2023

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	1,248	$52K
2019	1,597	$63K
2020	1,783	$71K
2021	1,502	$78K
2022	1,323	$71K
2023	824	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	89%	5,581	4,826	$340K
99407		6.1%	1,546	1,436	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.7%	303	272	$14K
90674		<1%	165	164	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	187	173	$978.54
36410		<1%	157	151	$690.00
Q2035	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	<1%	74	73	$457.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	38	38	$438.06
G0008	Administration of influenza virus vaccine	<1%	180	177	$386.75
90686		<1%	12	12	$212.19
Q2037	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	<1%	34	33	$48.99

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.