1396842092

1396842092 was paid $155K by Medicaid between Jan 2018 and Apr 2022, across 18 billing codes. Its largest line is 99335, — 43% of everything it billed.

33Billing provider info1396842092

33aNPI1396842092

33bProvider type—

28Total paid$155K

24GClaims9,472

24DCodes billed18

24AFirst – last monthJan 2018 – Apr 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	1,350	$25K
2019	2,021	$29K
2020	3,172	$40K
2021	2,006	$34K
2022	923	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99335		43%	5,540	3,360	$67K
99336		28%	1,489	1,086	$43K
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	13%	871	775	$21K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	10%	236	234	$16K
93880		1.4%	216	216	$2K
90682		1.2%	111	111	$2K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	143	143	$871.79
93925		<1%	62	62	$860.32
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%	447	403	$855.55
99334		<1%	74	63	$644.94
94060		<1%	53	50	$552.20
93922		<1%	25	25	$419.96

6 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	20	$269.73
99442		<1%	32	$178.27
95923		0%	25	$0.00
95921		0%	25	$0.00
G0008	Administration of influenza virus vaccine	0%	70	$0.00
99443		0%	33	$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.