1376870808

1376870808 was paid $128K by Medicaid between Jan 2018 and Aug 2021, across 15 billing codes. Its largest line is 57511, — 24% of everything it billed.

33Billing provider info1376870808

33aNPI1376870808

33bProvider type—

28Total paid$128K

24GClaims2,445

24DCodes billed15

24AFirst – last monthJan 2018 – Aug 2021

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	396	$22K
2019	475	$30K
2020	514	$22K
2021	1,060	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
57511		24%	351	304	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	617	498	$26K
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	15%	371	323	$19K
76830	Ultrasound, transvaginal	13%	196	190	$17K
51729		9.6%	47	47	$12K
93976		6.4%	164	161	$8K
51792		4.3%	75	47	$6K
51797		4.2%	47	47	$5K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	2.2%	168	163	$3K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	86	85	$1K
51741		<1%	75	47	$363.07
51798		<1%	145	142	$181.84

3 more codes

51784		0%	29	$0.00
51701		0%	47	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	27	$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.