1306004734

1306004734 was paid $539K by Medicaid between Dec 2018 and Oct 2023, across 6 billing codes. Its largest line is 99221, — 57% of everything it billed.

33Billing provider info1306004734

33aNPI1306004734

33bProvider type—

28Total paid$539K

24GClaims6,933

24DCodes billed6

24AFirst – last monthDec 2018 – Oct 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	137	$13K
2019	1,103	$126K
2020	1,507	$154K
2021	1,497	$141K
2022	1,534	$82K
2023	1,155	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99221		57%	1,297	1,154	$305K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	29%	3,082	2,850	$156K
99222	Initial hospital care, per day, moderate complexity	14%	829	754	$74K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	1,148	929	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	463	124	$140.50
99238	Hospital discharge day management, 30 minutes or less	0%	114	102	$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.