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NPI 1396814570
NPI deactivated
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
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 | 2,539 | $57K | |
| 2019 | 1,130 | $56K | |
| 2020 | 2,590 | $42K | |
| 2021 | 2,090 | $43K | |
| 2022 | 2,347 | $47K | |
| 2023 | 930 | $51K | |
| 2024incomplete | 1,066 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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
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.