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NPI 1396781134
NPI deactivated
1396781134
1396781134 was paid $405K by Medicaid between Jan 2018 and Mar 2018, across 73 billing codes. Its largest line is 87086, Culture, bacterial; quantitative colony count, urine — 17% of everything it billed.
33Billing provider info1396781134
33aNPI1396781134
33bProvider type—
28Total paid$405K
24GClaims37,507
24DCodes billed73
24AFirst – last monthJan 2018 – Mar 2018
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 | 37,507 | $405K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87086 | Culture, bacterial; quantitative colony count, urine | 17% | 7,095 | 6,686 | $67K |
| 87088 | 12% | 5,098 | 4,818 | $50K | |
| 80050 | General health panel | 8.2% | 764 | 761 | $33K |
| 87081 | 6.7% | 3,367 | 3,278 | $27K | |
| 80061 | Lipid panel | 6.4% | 1,553 | 1,540 | $26K |
| 87070 | 4.9% | 1,987 | 1,923 | $20K | |
| 80053 | Comprehensive metabolic panel | 4.7% | 1,522 | 1,399 | $19K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.6% | 921 | 895 | $19K |
| 87186 | 4.6% | 1,860 | 1,776 | $19K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.8% | 1,318 | 1,308 | $16K |
| 87077 | 3.6% | 1,773 | 1,693 | $15K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.7% | 1,340 | 1,195 | $11K |
61 more codes
| 87147 | 1.7% | 1,052 | $7K | |
| 87209 | 1.4% | 285 | $6K | |
| 84439 | 1.1% | 422 | $4K | |
| 87177 | <1% | 283 | $4K | |
| 84153 | <1% | 133 | $3K | |
| 87427 | <1% | 197 | $3K | |
| 84702 | <1% | 157 | $3K | |
| 82670 | <1% | 84 | $3K | |
| 82607 | <1% | 151 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 274 | $3K |
| 87045 | <1% | 230 | $3K | |
| 87338 | <1% | 165 | $2K | |
| 82247 | <1% | 383 | $2K | |
| 83001 | <1% | 95 | $2K | |
| 87329 | <1% | 142 | $2K | |
| 84146 | <1% | 78 | $2K | |
| 82248 | <1% | 310 | $2K | |
| 82728 | <1% | 106 | $2K | |
| 82746 | <1% | 96 | $2K | |
| 85027 | <1% | 270 | $2K | |
| 83002 | <1% | 63 | $1K | |
| 86140 | <1% | 226 | $1K | |
| 87324 | <1% | 87 | $1K | |
| 87449 | <1% | 87 | $1K | |
| 82274 | <1% | 187 | $1K | |
| 84144 | <1% | 59 | $1K | |
| 82950 | <1% | 193 | $1K | |
| 82570 | <1% | 174 | $1K | |
| 87205 | <1% | 157 | $992.84 | |
| 84550 | <1% | 176 | $973.50 | |
| 80076 | <1% | 89 | $897.96 | |
| 84460 | <1% | 136 | $860.12 | |
| 87075 | <1% | 100 | $811.62 | |
| 84156 | <1% | 175 | $808.48 | |
| 83550 | <1% | 74 | $777.92 | |
| 81001 | <1% | 191 | $764.05 | |
| 83540 | <1% | 99 | $753.83 | |
| 87046 | <1% | 222 | $697.38 | |
| 83690 | <1% | 79 | $692.23 | |
| 84450 | <1% | 112 | $679.08 | |
| 83735 | <1% | 90 | $675.29 | |
| 85652 | <1% | 194 | $607.16 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | $584.82 |
| 82550 | <1% | 73 | $562.32 | |
| 82565 | <1% | 82 | $499.67 | |
| 81003 | <1% | 174 | $443.94 | |
| 85610 | <1% | 113 | $426.62 | |
| 89055 | <1% | 75 | $374.78 | |
| 80164 | <1% | 25 | $336.11 | |
| 84100 | <1% | 64 | $316.13 | |
| 80178 | <1% | 36 | $276.48 | |
| 83615 | <1% | 34 | $260.04 | |
| 82977 | <1% | 27 | $244.66 | |
| 82947 | <1% | 51 | $244.07 | |
| 85730 | <1% | 26 | $195.25 | |
| 85018 | <1% | 64 | $182.31 | |
| 82150 | <1% | 18 | $143.99 | |
| 81015 | <1% | 33 | $122.45 | |
| 85014 | <1% | 40 | $117.42 | |
| 87076 | <1% | 12 | $101.66 | |
| 36416 | 0% | 59 | $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.