1366858342

1366858342 was paid $488K by Medicaid between Jan 2018 and Apr 2020, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider info1366858342

33aNPI1366858342

33bProvider type—

28Total paid$488K

24GClaims11,336

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2020

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	3,682	$143K
2019	6,259	$267K
2020	1,395	$78K

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	74%	7,473	6,021	$359K
90792	Psychiatric diagnostic evaluation with medical services	14%	765	642	$67K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	6.4%	642	211	$31K
80305		3.3%	2,004	985	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	181	175	$10K
90889		<1%	17	16	$2K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	228	177	$2K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	26	14	$232.00

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.