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NPI 1386178044
NPI deactivated
1386178044
1386178044 was paid $224K by Medicaid between Jan 2018 and Jul 2023, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider info1386178044
33aNPI1386178044
33bProvider type—
28Total paid$224K
24GClaims15,302
24DCodes billed31
24AFirst – last monthJan 2018 – Jul 2023
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 | 2,720 | $54K | |
| 2019 | 5,184 | $89K | |
| 2020 | 3,524 | $47K | |
| 2021 | 1,017 | $13K | |
| 2022 | 2,209 | $18K | |
| 2023 | 648 | $4K |
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 | 44% | 2,724 | 1,996 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 907 | 710 | $35K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 6.5% | 1,315 | 1,002 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 304 | 201 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.5% | 1,327 | 503 | $12K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.4% | 140 | 114 | $12K |
| 3008F | 2.7% | 2,246 | 1,763 | $6K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.5% | 135 | 94 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 45 | 28 | $4K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.7% | 21 | 17 | $4K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 1.7% | 779 | 678 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 36 | 16 | $4K |
19 more codes
| 36415 | Collection of venous blood by venipuncture | 1.2% | 1,899 | $3K |
| 3074F | 1.2% | 885 | $3K | |
| 3078F | <1% | 752 | $2K | |
| 92551 | <1% | 185 | $2K | |
| 96150 | <1% | 65 | $768.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | $581.70 |
| 3077F | <1% | 113 | $340.00 | |
| 90688 | <1% | 43 | $310.50 | |
| 99173 | <1% | 78 | $155.00 | |
| 3079F | <1% | 117 | $150.00 | |
| 81003 | <1% | 25 | $35.14 | |
| 3080F | <1% | 15 | $30.00 | |
| 3075F | <1% | 15 | $10.00 | |
| 99408 | <1% | 665 | $3.48 | |
| 4037F | 0% | 108 | $0.00 | |
| 90651 | 0% | 34 | $0.00 | |
| 90686 | 0% | 53 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 0502F | 0% | 226 | $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.