1396828331

1396828331 was paid $781K by Medicaid between Jan 2018 and Dec 2021, across 96 billing codes. Its largest line is 99349, — 54% of everything it billed.

33Billing provider info1396828331

33aNPI1396828331

33bProvider type—

28Total paid$781K

24GClaims111,077

24DCodes billed96

24AFirst – last monthJan 2018 – Dec 2021

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	19,276	$284K
2019	45,042	$303K
2020	36,531	$189K
2021	10,228	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99349		54%	7,266	6,692	$422K
99350	Prolong home eval add 15m	14%	1,310	1,243	$106K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	6.4%	1,621	1,574	$50K
99344		5.1%	402	400	$40K
99497		3.3%	425	405	$26K
99454		2.7%	833	804	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	475	396	$18K
99457		1.8%	910	901	$14K
99348		1.7%	354	336	$13K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	1.5%	823	786	$11K
99345	Prolong home eval add 15m	1.1%	55	55	$8K
99496		<1%	31	31	$5K

84 more codes

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%	316	$5K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	<1%	404	$4K
96127		<1%	449	$3K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	4,005	$3K
99401		<1%	223	$2K
99402		<1%	210	$2K
G0179	Physician or allowed practitioner re-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%	246	$2K
99406		<1%	110	$2K
1036F		<1%	4,874	$1K
1090F		<1%	4,975	$1K
1494F		<1%	7,056	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	134	$1K
90674		<1%	206	$1K
0518F		<1%	2,900	$1K
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	2,399	$1K
99453		<1%	123	$1K
G0008	Administration of influenza virus vaccine	<1%	252	$1K
1003F		<1%	3,902	$997.19
1101F		<1%	746	$989.15
G8734	Elder maltreatment screen documented as negative, follow-up is not required	<1%	580	$954.31
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	613	$855.22
3288F		<1%	4,795	$831.86
1126F		<1%	3,850	$818.41
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	<1%	1,274	$805.35
G8753	Most recent systolic blood pressure >= 140 mmhg	<1%	983	$625.32
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	<1%	2,042	$624.59
99203	Doctor's office visit, new patient (routine)	<1%	13	$580.62
1111F		<1%	527	$476.85
3725F		<1%	666	$453.46
1160F		<1%	7,380	$453.46
90686		<1%	142	$416.16
93000		<1%	27	$405.43
1091F		<1%	394	$363.55
0521F		<1%	2,222	$356.00
G9744	Patient not eligible due to active diagnosis of hypertension	<1%	114	$262.05
1170F		<1%	7,311	$261.77
99051		<1%	1,053	$257.97
99050		<1%	97	$247.15
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	1,702	$172.50
90682		<1%	40	$160.11
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	16	$126.24
94760		<1%	1,996	$117.95
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	42	$115.39
1159F		<1%	7,607	$111.63
36415	Collection of venous blood by venipuncture	<1%	135	$99.25
99439		0%	41	$0.00
4008F		0%	230	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	17	$0.00
3075F		0%	366	$0.00
3079F		0%	297	$0.00
3008F		0%	1,435	$0.00
G9459	Currently a tobacco non-user	0%	931	$0.00
0509F		0%	999	$0.00
1125F		0%	2,005	$0.00
G9273	Blood pressure has a systolic value of < 140 and a diastolic value of < 90	0%	429	$0.00
3037F		0%	531	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	395	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	627	$0.00
3074F		0%	1,095	$0.00
3044F		0%	186	$0.00
1123F		0%	54	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	118	$0.00
3080F		0%	65	$0.00
1034F		0%	239	$0.00
1157F		0%	620	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	207	$0.00
G8478	Blood pressure measurement not performed or documented, reason not given	0%	14	$0.00
4010F		0%	43	$0.00
1158F		0%	1,618	$0.00
3077F		0%	414	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	248	$0.00
4004F		0%	60	$0.00
4274F		0%	217	$0.00
4040F		0%	75	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	661	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	245	$0.00
3028F		0%	25	$0.00
1124F		0%	12	$0.00
G8476	Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg	0%	65	$0.00
3078F		0%	1,716	$0.00
99072		0%	14	$0.00
4013F		0%	1,078	$0.00
94664		0%	15	$0.00
1033F		0%	14	$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.