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NPI 1316039795
NPI deactivated
1316039795
1316039795 was paid $231K by Medicaid between Jan 2018 and Oct 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider info1316039795
33aNPI1316039795
33bProvider type—
28Total paid$231K
24GClaims4,165
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2021
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 | 287 | $2K | |
| 2019 | 357 | $4K | |
| 2020 | 833 | $44K | |
| 2021 | 2,688 | $181K |
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 | 40% | 2,620 | 2,145 | $92K |
| 99091 | 22% | 322 | 258 | $50K | |
| 99423 | 9.6% | 415 | 169 | $22K | |
| 93970 | 9.4% | 181 | 165 | $22K | |
| 93925 | 9.2% | 148 | 137 | $21K | |
| 93307 | 6.0% | 142 | 134 | $14K | |
| 93880 | 3.9% | 81 | 75 | $9K | |
| 93000 | <1% | 91 | 89 | $1K | |
| 36415 | Collection of venous blood by venipuncture | 0% | 165 | 157 | $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.