1366466765

1366466765 was paid $284K by Medicaid between Jan 2018 and Dec 2023, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider info1366466765

33aNPI1366466765

33bProvider type—

28Total paid$284K

24GClaims7,290

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2023

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	190	$2K
2019	156	$2K
2020	352	$13K
2021	2,460	$91K
2022	2,206	$91K
2023	1,926	$84K

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	48%	3,564	3,263	$136K
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%	2,170	2,074	$115K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	4.9%	935	873	$14K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	2.4%	161	160	$7K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.0%	45	45	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	29	29	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	26	26	$2K
S9083	Global fee urgent care centers	<1%	14	14	$1K
0001A		<1%	29	27	$940.00
90686		<1%	66	66	$650.14
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	57	55	$583.34
G0008	Administration of influenza virus vaccine	<1%	61	59	$554.70

7 more codes

99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	13	$305.00
80305		<1%	12	$167.57
3078F		<1%	14	$120.00
81002		<1%	25	$109.92
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	$100.06
3074F		<1%	12	$100.00
3008F		0%	43	$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.