1417909854

1417909854 was paid $736K by Medicaid between Jan 2018 and Jan 2021, across 12 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 28% of everything it billed.

33Billing provider info1417909854

33aNPI1417909854

33bProvider type—

28Total paid$736K

24GClaims10,182

24DCodes billed12

24AFirst – last monthJan 2018 – Jan 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	4,245	$320K
2019	3,301	$234K
2020	2,548	$176K
2021	88	$7K

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	28%	3,703	3,664	$204K
95912		26%	1,200	669	$188K
95886		17%	1,146	646	$124K
99205	Prolong outpt/office vis	12%	962	958	$89K
76942		4.5%	545	543	$33K
20526		4.1%	538	537	$30K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3.2%	1,243	1,233	$23K
20551		3.0%	357	355	$22K
S0020	Injection, bupivicaine hydrochloride, 30 ml	2.3%	288	283	$17K
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	<1%	175	173	$4K
93880		<1%	12	12	$425.46
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	13	$163.20

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.