1356382121

1356382121 was paid $27K by Medicaid between Apr 2018 and Mar 2022, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider info1356382121

33aNPI1356382121

33bProvider type—

28Total paid$27K

24GClaims14,673

24DCodes billed26

24AFirst – last monthApr 2018 – Mar 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	441	$3K
2019	9,381	$18K
2020	4,415	$7K
2021	305	$0.00
2022	131	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	73%	2,406	1,945	$20K
36415	Collection of venous blood by venipuncture	18%	645	610	$5K
99442		2.2%	46	40	$587.47
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	1.8%	338	295	$481.78
1160F		1.6%	3,345	2,899	$436.57
3008F		1.3%	2,894	2,454	$351.13
1159F		1.1%	3,348	2,904	$310.18
99443		<1%	12	12	$113.49
3074F		<1%	158	151	$42.51
1170F		<1%	157	152	$28.34
3016F		<1%	73	68	$26.78
1126F		<1%	247	232	$14.17

14 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	42	$12.61
3078F		0%	223	$0.00
1158F		0%	140	$0.00
99173		0%	92	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	44	$0.00
3288F		0%	14	$0.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	13	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	12	$0.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	0%	133	$0.00
1220F		0%	16	$0.00
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	0%	130	$0.00
1000F		0%	73	$0.00
1036F		0%	42	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	30	$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.