1417900531

1417900531 was paid $1.08M by Medicaid between Jan 2018 and Oct 2019, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.

33Billing provider info1417900531

33aNPI1417900531

33bProvider type—

28Total paid$1.08M

24GClaims26,624

24DCodes billed35

24AFirst – last monthJan 2018 – Oct 2019

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	18,159	$752K
2019	8,465	$330K

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	22%	2,445	2,378	$233K
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	18%	1,720	1,662	$192K
S4993	Contraceptive pills for birth control	13%	1,249	1,238	$139K
J3490	Unclassified drugs	9.6%	3,314	2,589	$104K
99201		6.0%	550	547	$65K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	5.9%	429	426	$64K
87806		3.5%	1,620	1,319	$38K
58300		3.0%	383	193	$32K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	2.8%	50	50	$31K
99401		2.7%	1,509	1,492	$29K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	2.2%	30	30	$24K
J7304	Contraceptive supply, hormone containing patch, each	1.9%	27	27	$21K

23 more codes

99402		1.9%	644	$20K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.8%	225	$19K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.1%	915	$12K
A4267	Contraceptive supply, condom, male, each	1.1%	1,555	$12K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	793	$10K
11976		<1%	139	$6K
81025		<1%	2,243	$6K
11981		<1%	27	$5K
S5000	Prescription drug, generic	<1%	775	$4K
83986		<1%	1,553	$4K
Q0111	Wet mounts, including preparations of vaginal, cervical or skin specimens	<1%	1,240	$4K
99000		<1%	1,292	$4K
Q0144	Azithromycin dihydrate, oral, capsules/powder, 1 gram	<1%	392	$1K
81002		<1%	542	$782.50
58301		<1%	30	$745.13
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	282	$528.02
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	262	$137.95
85018		<1%	153	$84.86
90630		<1%	13	$24.80
90688		<1%	33	$22.30
90715		<1%	13	$9.00
90686		<1%	30	$5.63
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	147	$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.