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NPI 1366659807
NPI deactivated
1366659807
1366659807 was paid $1.68M by Medicaid between Jan 2018 and Mar 2022, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider info1366659807
33aNPI1366659807
33bProvider type—
28Total paid$1.68M
24GClaims68,891
24DCodes billed64
24AFirst – last monthJan 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 | 22,461 | $418K | |
| 2019 | 17,785 | $377K | |
| 2020 | 13,618 | $381K | |
| 2021 | 12,933 | $435K | |
| 2022 | 2,094 | $67K |
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 | 44% | 13,236 | 11,479 | $736K |
| 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 | 19% | 3,989 | 3,743 | $314K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 12% | 2,541 | 2,498 | $207K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 11% | 2,081 | 2,042 | $188K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.1% | 1,065 | 1,055 | $85K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 353 | 352 | $26K |
| 99443 | 1.1% | 428 | 428 | $18K | |
| 92588 | <1% | 848 | 837 | $16K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 164 | 163 | $13K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 82 | 80 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 119 | 118 | $9K |
| 99442 | <1% | 253 | 252 | $8K |
52 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 3,601 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 392 | $5K |
| 90756 | <1% | 160 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 544 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 219 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 229 | $2K |
| 93000 | <1% | 232 | $2K | |
| 99000 | <1% | 1,349 | $2K | |
| 85027 | <1% | 426 | $2K | |
| 81002 | <1% | 742 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 207 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 81025 | <1% | 206 | $1K | |
| 82947 | <1% | 555 | $1K | |
| 82565 | <1% | 341 | $1K | |
| 90674 | <1% | 44 | $946.54 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 52 | $797.28 |
| 92567 | <1% | 81 | $648.58 | |
| 84520 | <1% | 273 | $628.59 | |
| 99441 | <1% | 77 | $610.14 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 71 | $606.59 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 97 | $606.46 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | $509.95 |
| 84450 | <1% | 157 | $410.84 | |
| 86580 | <1% | 45 | $232.27 | |
| 97802 | <1% | 1,020 | $220.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 35 | $54.08 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 473 | $52.70 |
| 3078F | <1% | 4,886 | $5.08 | |
| 3074F | <1% | 5,568 | $4.53 | |
| 1034F | <1% | 4,070 | $3.08 | |
| 3075F | <1% | 1,958 | $2.24 | |
| 3079F | <1% | 3,043 | $2.19 | |
| 3077F | <1% | 1,035 | $0.90 | |
| 4000F | <1% | 1,866 | $0.46 | |
| 3080F | <1% | 653 | $0.26 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 225 | $0.16 |
| 1033F | <1% | 91 | $0.08 | |
| 90461 | 0% | 213 | $0.00 | |
| 90734 | 0% | 24 | $0.00 | |
| 99072 | 0% | 64 | $0.00 | |
| 90633 | 0% | 16 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| 90649 | 0% | 16 | $0.00 | |
| 1036F | 0% | 5,851 | $0.00 | |
| 3354F | 0% | 157 | $0.00 | |
| 3352F | 0% | 634 | $0.00 | |
| 3044F | 0% | 200 | $0.00 | |
| 3351F | 0% | 462 | $0.00 | |
| 3353F | 0% | 922 | $0.00 | |
| 90686 | 0% | 38 | $0.00 | |
| 90716 | 0% | 13 | $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.