Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1285642694

1285642694 was paid $78K by Medicaid between Jan 2018 and Mar 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider info1285642694
33aNPI1285642694
33bProvider type—
28Total paid$78K
24GClaims4,825
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2020
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20182,056$31K
20192,234$37K
2020535$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 1,352 1,109 $22K
93976 19% 403 396 $15K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15% 651 641 $12K
76775 14% 661 654 $11K
76872 9.5% 363 360 $7K
76870 8.6% 412 409 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.6% 120 118 $3K
51741 1.4% 794 739 $1K
36415 Collection of venous blood by venipuncture <1% 69 66 $3.00

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.