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NPI 1386069995
NPI deactivated
1386069995
1386069995 was paid $5.38M by Medicaid between Jan 2018 and Feb 2022, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider info1386069995
33aNPI1386069995
33bProvider type—
28Total paid$5.38M
24GClaims81,667
24DCodes billed37
24AFirst – last monthJan 2018 – Feb 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 | 9,116 | $1.34M | |
| 2019 | 11,769 | $1.14M | |
| 2020 | 24,423 | $1.12M | |
| 2021 | 33,448 | $1.61M | |
| 2022 | 2,911 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 96% | 34,554 | 23,678 | $5.19M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 5,972 | 5,047 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,323 | 1,222 | $23K |
| 59425 | <1% | 399 | 334 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 996 | 885 | $11K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 31 | 26 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 541 | 413 | $7K |
| J3490 | Unclassified drugs | <1% | 459 | 411 | $6K |
| 99000 | <1% | 5,713 | 5,103 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 621 | 554 | $1K |
| 81003 | <1% | 7,302 | 5,362 | $915.74 | |
| 81025 | <1% | 1,767 | 1,603 | $816.33 |
25 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 176 | $776.34 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 69 | $453.17 |
| 90715 | <1% | 433 | $154.85 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 659 | $70.72 |
| 85018 | <1% | 440 | $41.82 | |
| Z6410 | 0% | 1,423 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,580 | $0.00 |
| Z1032 | 0% | 714 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,844 | $0.00 |
| Z1038 | 0% | 577 | $0.00 | |
| Z1034 | 0% | 7,760 | $0.00 | |
| 90686 | 0% | 169 | $0.00 | |
| Z6204 | 0% | 173 | $0.00 | |
| Z6404 | 0% | 210 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 85 | $0.00 |
| 1220F | 0% | 155 | $0.00 | |
| Z6406 | 0% | 92 | $0.00 | |
| 81000 | 0% | 18 | $0.00 | |
| 96160 | 0% | 291 | $0.00 | |
| Z6500 | 0% | 232 | $0.00 | |
| Z6400 | 0% | 603 | $0.00 | |
| Z6414 | 0% | 172 | $0.00 | |
| 81002 | 0% | 55 | $0.00 | |
| L0621 | Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf | 0% | 46 | $0.00 |
| Z6208 | 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.