1407944432

1407944432 was paid $169K by Medicaid between Jan 2018 and Dec 2020, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 38% of everything it billed.

33Billing provider info1407944432

33aNPI1407944432

33bProvider type—

28Total paid$169K

24GClaims4,553

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2020

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	12	$0.00
2019	876	$36K
2020	3,665	$134K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	38%	1,191	1,041	$64K
99358	Prolong nursin fac eval 15m	32%	980	931	$54K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	15%	750	708	$25K
99490	Ccm add 20min	11%	1,035	981	$18K
80306		5.0%	583	540	$9K
81025		<1%	14	12	$85.47

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.