1316363542

1316363542 was paid $562K by Medicaid between Jan 2018 and Aug 2022, across 18 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 44% of everything it billed.

33Billing provider info1316363542

33aNPI1316363542

33bProvider type—

28Total paid$562K

24GClaims11,818

24DCodes billed18

24AFirst – last monthJan 2018 – Aug 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
2018	4,739	$195K
2019	1,885	$107K
2020	1,162	$56K
2021	2,046	$104K
2022	1,986	$100K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	44%	2,802	2,526	$247K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	36%	5,377	5,354	$202K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	6.9%	1,274	1,172	$39K
76813		3.3%	328	315	$18K
Z1034		2.8%	287	240	$16K
H1001	Prenatal care, at-risk enhanced service; antepartum management	2.3%	213	181	$13K
59025	Fetal non-stress test	<1%	217	187	$5K
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%	38	32	$4K
99401		<1%	78	77	$4K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	419	320	$4K
Z6410		<1%	308	235	$2K
97803		<1%	39	39	$2K

6 more codes

H1003	Prenatal care, at-risk enhanced service; education	<1%	156	$2K
Z6400		<1%	147	$2K
76801		<1%	84	$862.88
90674		<1%	27	$659.54
Z6406		<1%	12	$184.70
Z6304		<1%	12	$166.54

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.