1306496880

1306496880 was paid $210K by Medicaid between Dec 2019 and Apr 2022, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider info1306496880

33aNPI1306496880

33bProvider type—

28Total paid$210K

24GClaims8,743

24DCodes billed10

24AFirst – last monthDec 2019 – Apr 2022

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
2019	38	$589.25
2020	3,884	$108K
2021	3,266	$54K
2022	1,555	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	41%	2,244	1,660	$86K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	29%	2,945	2,233	$62K
99337		11%	347	326	$24K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	9.0%	201	185	$19K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	5.1%	317	224	$11K
96127		1.5%	1,383	1,015	$3K
90785		1.5%	1,160	962	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	110	97	$726.03
99327		<1%	17	15	$593.71
99328		<1%	19	19	$591.96

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.