1285809186

1285809186 was paid $85K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 96% of everything it billed.

33Billing provider info1285809186

33aNPI1285809186

33bProvider type—

28Total paid$85K

24GClaims2,386

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2019

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	1,245	$43K
2019	1,141	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	96%	2,068	1,138	$81K
D1206	Topical application of fluoride varnish	2.3%	107	102	$2K
92551		1.5%	123	121	$1K
99411		<1%	18	18	$266.22
99173		<1%	70	70	$143.64

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.