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NPI 1417935495
NPI deactivated
1417935495
1417935495 was paid $3K by Medicaid between Jan 2018 and Aug 2019, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider info1417935495
33aNPI1417935495
33bProvider type—
28Total paid$3K
24GClaims9,406
24DCodes billed44
24AFirst – last monthJan 2018 – Aug 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 | 2,965 | $1K | |
| 2019 | 6,441 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 93% | 1,106 | 1,005 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 73 | 68 | $212.88 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 396 | 354 | $0.98 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 326 | 295 | $0.00 |
| 2000F | 0% | 675 | 601 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 623 | 565 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 149 | 135 | $0.00 |
| 1126F | 0% | 403 | 361 | $0.00 | |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 175 | 157 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 333 | 303 | $0.00 |
| 99406 | 0% | 129 | 112 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 57 | 55 | $0.00 |
32 more codes
| 1125F | 0% | 121 | $0.00 | |
| 1036F | 0% | 318 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 99 | $0.00 |
| G9642 | Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) | 0% | 209 | $0.00 |
| G9366 | One high-risk medication not ordered | 0% | 186 | $0.00 |
| 1170F | 0% | 42 | $0.00 | |
| G8973 | Most recent hemoglobin (hgb) level < 10 g/dl | 0% | 13 | $0.00 |
| 99407 | 0% | 39 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 87 | $0.00 |
| 1101F | 0% | 15 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 21 | $0.00 |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 41 | $0.00 |
| G9365 | One high-risk medication ordered | 0% | 360 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 407 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,265 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 124 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 120 | $0.00 |
| 4004F | 0% | 203 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 36 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 570 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 78 | $0.00 |
| 3725F | 0% | 40 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 198 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 147 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 59 | $0.00 |
| 0518F | 0% | 17 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 15 | $0.00 |
| 4040F | 0% | 51 | $0.00 | |
| 3288F | 0% | 18 | $0.00 | |
| 0521F | 0% | 18 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 19 | $0.00 |
| 1090F | 0% | 25 | $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.