1275605990

1275605990 was paid $161K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99242, — 54% of everything it billed.

33Billing provider info1275605990

33aNPI1275605990

33bProvider type—

28Total paid$161K

24GClaims5,898

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 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	1,105	$26K
2019	1,266	$33K
2020	694	$16K
2021	764	$19K
2022	779	$21K
2023	687	$25K
2024incomplete	603	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99242		54%	1,882	1,644	$87K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	2,420	1,609	$44K
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	17%	1,473	957	$27K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	48	48	$1K
59020		<1%	15	15	$535.35
99070		<1%	16	15	$480.00
99238	Hospital discharge day management, 30 minutes or less	<1%	28	26	$160.93
99221		<1%	16	16	$125.00

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.