1306839378

1306839378 was paid $72K by Medicaid between Feb 2019 and Dec 2019, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider info1306839378

33aNPI1306839378

33bProvider type—

28Total paid$72K

24GClaims2,522

24DCodes billed13

24AFirst – last monthFeb 2019 – 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
2019	2,522	$72K

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	74%	1,092	919	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	341	318	$10K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.2%	46	46	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.9%	45	45	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	33	33	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.0%	56	49	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	189	188	$10.00
G8711	Prescribed antibiotic on or within 3 days after the episode date	0%	151	136	$0.00
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	0%	199	195	$0.00
90461		0%	62	61	$0.00
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	0%	224	204	$0.00
90670		0%	24	24	$0.00

1 more codes

80305

$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.