1366489585

1366489585 was paid $79K by Medicaid between Jan 2018 and Apr 2019, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider info1366489585

33aNPI1366489585

33bProvider type—

28Total paid$79K

24GClaims8,771

24DCodes billed22

24AFirst – last monthJan 2018 – Apr 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
2018	7,429	$60K
2019	1,342	$18K

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	80%	1,900	1,536	$63K
95923		8.2%	130	114	$6K
95943		7.5%	134	113	$6K
93000		2.5%	190	178	$2K
82947		1.5%	589	479	$1K
94761		<1%	73	55	$176.49
36416		<1%	82	63	$105.00
A4456	Adhesive remover, wipes, any type, each	<1%	40	33	$2.55
3078F		<1%	1,024	833	$0.13
1160F		<1%	861	667	$0.11
1159F		<1%	862	666	$0.11
3074F		<1%	1,021	843	$0.10

10 more codes

3075F		<1%	338	$0.03
2000F		<1%	290	$0.02
3079F		<1%	449	$0.01
3077F		0%	109	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	80	$0.00
3008F		0%	485	$0.00
1170F		0%	14	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	12	$0.00
4037F		0%	53	$0.00
1157F		0%	35	$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.