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NPI 1437495835
NPI deactivated
1437495835
1437495835 was paid $8.13M by Medicaid between May 2019 and Nov 2023, across 127 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider info1437495835
33aNPI1437495835
33bProvider type—
28Total paid$8.13M
24GClaims475,956
24DCodes billed127
24AFirst – last monthMay 2019 – Nov 2023
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 | |
|---|---|---|---|
| 2019 | 19,082 | $275K | |
| 2020 | 96,392 | $2.07M | |
| 2021 | 129,171 | $3.49M | |
| 2022 | 121,947 | $2.07M | |
| 2023 | 109,364 | $233K |
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 | 23% | 84,751 | 79,501 | $1.89M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 18,315 | 18,022 | $964K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 16,001 | 15,861 | $875K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.0% | 14,277 | 13,987 | $729K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.5% | 9,174 | 9,039 | $526K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 86,822 | 36,777 | $347K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.2% | 4,696 | 4,432 | $263K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 6,376 | 5,359 | $218K |
| D0145 | Oral evaluation for a patient under three years of age | 2.6% | 1,649 | 1,618 | $208K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.4% | 3,693 | 3,662 | $195K |
| 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 | 2.1% | 5,604 | 5,422 | $174K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.7% | 1,956 | 1,169 | $136K |
115 more codes
| 90832 | Psychotherapy session, about 30 minutes | 1.6% | 4,627 | $127K |
| 90461 | 1.5% | 24,059 | $118K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.4% | 1,342 | $113K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.3% | 191 | $108K |
| D1120 | Dental cleaning, child | <1% | 2,418 | $79K |
| 59430 | <1% | 1,094 | $70K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 18,452 | $68K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,318 | $56K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 753 | $56K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 5,655 | $55K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,147 | $52K |
| D0120 | Dental checkup, returning patient | <1% | 1,969 | $52K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,266 | $48K |
| D1206 | Topical application of fluoride varnish | <1% | 3,152 | $41K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,720 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 444 | $40K |
| 76801 | <1% | 464 | $38K | |
| D1110 | Prophylaxis - adult | <1% | 651 | $33K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 486 | $33K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,392 | $32K |
| D0272 | Bitewings - two radiographic images | <1% | 1,585 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,023 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 831 | $25K |
| 59025 | Fetal non-stress test | <1% | 1,844 | $25K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,235 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,180 | $20K |
| D0274 | Bitewings - four radiographic images | <1% | 648 | $17K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 216 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 266 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,742 | $13K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 177 | $12K |
| 84703 | <1% | 3,744 | $12K | |
| 99243 | <1% | 135 | $11K | |
| 76830 | Ultrasound, transvaginal | <1% | 131 | $11K |
| D0330 | Panoramic radiographic image | <1% | 574 | $10K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 824 | $9K |
| 92523 | <1% | 145 | $7K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 327 | $7K |
| 82947 | <1% | 4,271 | $5K | |
| 99385 | <1% | 71 | $5K | |
| 99381 | <1% | 74 | $5K | |
| 81002 | <1% | 2,088 | $5K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 193 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 69 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 470 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 44 | $3K |
| 76820 | <1% | 87 | $3K | |
| 90474 | <1% | 334 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 32 | $2K |
| 90715 | <1% | 404 | $2K | |
| D1351 | Sealant - per tooth | <1% | 120 | $2K |
| 97802 | <1% | 1,913 | $2K | |
| 76818 | <1% | 118 | $2K | |
| 90620 | <1% | 160 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $1K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 38 | $1K |
| 97803 | <1% | 2,302 | $974.68 | |
| 99242 | <1% | 13 | $753.30 | |
| 90686 | <1% | 19,620 | $708.52 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 815 | $644.70 |
| 90651 | <1% | 4,417 | $616.66 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 796 | $446.01 |
| 90734 | <1% | 548 | $415.05 | |
| 81025 | <1% | 85 | $240.08 | |
| 85018 | <1% | 1,064 | $191.38 | |
| 87420 | <1% | 53 | $168.24 | |
| D0170 | <1% | 14 | $148.86 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 127 | $112.93 |
| 90633 | <1% | 4,943 | $72.28 | |
| 96381 | <1% | 12 | $16.50 | |
| 0001A | <1% | 1,763 | $15.52 | |
| 87999 | <1% | 87 | $3.17 | |
| 90688 | <1% | 329 | $0.02 | |
| 90619 | <1% | 563 | $0.02 | |
| 90680 | 0% | 7,709 | $0.00 | |
| D0603 | 0% | 2,862 | $0.00 | |
| 96127 | 0% | 16,710 | $0.00 | |
| 90723 | 0% | 2,191 | $0.00 | |
| 91307 | 0% | 71 | $0.00 | |
| 90698 | 0% | 271 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,712 | $0.00 |
| 90697 | 0% | 3,787 | $0.00 | |
| D0602 | 0% | 2,116 | $0.00 | |
| 96161 | 0% | 2,694 | $0.00 | |
| 90716 | 0% | 449 | $0.00 | |
| 96040 | 0% | 203 | $0.00 | |
| 36416 | 0% | 146 | $0.00 | |
| 90677 | 0% | 351 | $0.00 | |
| 90696 | 0% | 295 | $0.00 | |
| D0601 | 0% | 128 | $0.00 | |
| 96156 | 0% | 20 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 14 | $0.00 |
| 91315 | 0% | 27 | $0.00 | |
| 90381 | 0% | 26 | $0.00 | |
| 0072A | 0% | 13 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 15 | $0.00 |
| 0064A | 0% | 13 | $0.00 | |
| 0081A | 0% | 14 | $0.00 | |
| 98967 | 0% | 12 | $0.00 | |
| 82962 | 0% | 12 | $0.00 | |
| 90670 | 0% | 12,766 | $0.00 | |
| 90648 | 0% | 4,861 | $0.00 | |
| 90700 | 0% | 313 | $0.00 | |
| 90685 | 0% | 242 | $0.00 | |
| 90710 | 0% | 312 | $0.00 | |
| 91300 | 0% | 125 | $0.00 | |
| 90707 | 0% | 413 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 13 | $0.00 |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 28 | $0.00 |
| 98966 | 0% | 296 | $0.00 | |
| 91312 | 0% | 36 | $0.00 | |
| 91308 | 0% | 33 | $0.00 | |
| 0071A | 0% | 35 | $0.00 | |
| 99173 | 0% | 12 | $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.