1306020698

1306020698 was paid $1.29M by Medicaid between Jan 2018 and Jan 2020, across 26 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 24% of everything it billed.

33Billing provider info1306020698

33aNPI1306020698

33bProvider type—

28Total paid$1.29M

24GClaims50,820

24DCodes billed26

24AFirst – last monthJan 2018 – Jan 2020

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	40,752	$872K
2019	10,006	$419K
2020	62	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	24%	10,397	1,691	$311K
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	19%	2,831	1,694	$249K
80365		8.2%	7,806	1,635	$106K
80348		8.1%	7,800	1,633	$105K
80349		7.6%	7,755	1,626	$99K
80346		7.2%	7,171	1,474	$94K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.8%	469	388	$62K
90792	Psychiatric diagnostic evaluation with medical services	4.1%	619	558	$53K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	916	642	$53K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.7%	828	328	$48K
99223	Prolong inpt eval add15 m	1.7%	331	233	$23K
80347		1.3%	1,327	269	$17K

14 more codes

99205	Prolong outpt/office vis	1.2%	304	$15K
99232	Hospital visit by a doctor, follow-up day	1.1%	355	$14K
99239	Hospital discharge day management, more than 30 minutes	<1%	212	$13K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	412	$8K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	228	$5K
80361		<1%	246	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	90	$3K
80356		<1%	105	$2K
80352		<1%	103	$2K
80358		<1%	103	$2K
80326		<1%	103	$2K
80353		<1%	103	$2K
80320		<1%	103	$1K
80345		<1%	103	$1K

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.