Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1396814570

1396814570 was paid $368K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider info1396814570
33aNPI1396814570
33bProvider type—
28Total paid$368K
24GClaims12,692
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,539$57K
20191,130$56K
20202,590$42K
20212,090$43K
20222,347$47K
2023930$51K
2024incomplete1,066$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 2,087 1,735 $127K
99336 29% 6,019 5,971 $109K
99349 23% 1,341 1,339 $84K
99310 Prolong nursin fac eval 15m 7.3% 1,753 1,723 $27K
90682 2.1% 224 221 $8K
99306 Prolong nursin fac eval 15m 2.1% 190 186 $8K
90686 <1% 97 97 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 279 158 $1K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 82 82 $1K
G0008 Administration of influenza virus vaccine <1% 303 300 $520.07
90662 <1% 150 148 $437.08
99223 Prolong inpt eval add15 m <1% 82 79 $424.21
5 more codes
99337 <1% 34 $380.70
99214 Doctor's office visit, returning patient (more involved) <1% 13 $96.76
90670 <1% 13 $76.05
99238 Hospital discharge day management, 30 minutes or less <1% 12 $48.50
G0009 Administration of pneumococcal vaccine <1% 13 $13.84

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.