1396703237

1396703237 was paid $292K by Medicaid between Jan 2018 and Dec 2022, across 30 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 52% of everything it billed.

33Billing provider info1396703237

33aNPI1396703237

33bProvider type—

28Total paid$292K

24GClaims14,532

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 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	4,390	$61K
2019	4,776	$57K
2020	2,332	$45K
2021	1,655	$67K
2022	1,379	$62K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	52%	2,225	1,910	$152K
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	39%	2,932	2,609	$115K
93000		5.0%	1,981	1,741	$14K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	1.6%	106	88	$5K
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	1.1%	32	28	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	52	38	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	18	15	$604.79
99199	Unlisted special service, procedure or report	<1%	83	83	$425.00
1036F		0%	437	368	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	625	546	$0.00
3017F		0%	352	323	$0.00
G8536	No documentation of an elder maltreatment screen, reason not given	0%	385	333	$0.00

18 more codes

G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	266	$0.00
G8432	Depression screening not documented, reason not given	0%	665	$0.00
1123F		0%	132	$0.00
1101F		0%	148	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	197	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	27	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	15	$0.00
G8541	Functional outcome assessment using a standardized tool not documented, reason not given	0%	1,082	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	325	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,166	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	347	$0.00
G8598	Aspirin or another antiplatelet therapy used	0%	81	$0.00
G8442	Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter	0%	514	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	89	$0.00
1090F		0%	45	$0.00
4040F		0%	160	$0.00
G8509	Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given	0%	17	$0.00
4004F		0%	28	$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.