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NPI 1447501291
NPI deactivated
1447501291
1447501291 was paid $5.32M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider info1447501291
33aNPI1447501291
33bProvider type—
28Total paid$5.32M
24GClaims191,778
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
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 | 637 | $2K | |
| 2019 | 38,018 | $755K | |
| 2020 | 40,836 | $795K | |
| 2021 | 40,090 | $1.24M | |
| 2022 | 34,820 | $1.14M | |
| 2023 | 19,194 | $844K | |
| 2024incomplete | 18,183 | $541K |
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 | 60% | 47,259 | 42,137 | $3.18M |
| 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 | 19% | 12,571 | 11,692 | $984K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 1,952 | 1,903 | $209K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 1,658 | 1,573 | $177K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 2,153 | 2,024 | $174K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 2,210 | 2,024 | $149K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 1,412 | 1,380 | $137K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 853 | 823 | $82K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 361 | 334 | $34K |
| H1000 | Prenatal care, at-risk assessment | <1% | 473 | 303 | $33K |
| 99201 | <1% | 581 | 491 | $31K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,408 | 1,251 | $19K |
82 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 192 | $14K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,103 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,044 | $12K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 277 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 92 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 212 | $7K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 140 | $6K |
| 99381 | <1% | 62 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 56 | $5K |
| 0011A | <1% | 170 | $4K | |
| 99383 | <1% | 27 | $3K | |
| 0012A | <1% | 105 | $2K | |
| 85018 | <1% | 4,902 | $2K | |
| 83655 | <1% | 986 | $2K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 20 | $1K |
| 99382 | <1% | 12 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 204 | $1K |
| 0001A | <1% | 37 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 218 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 27 | $1K |
| 0002A | <1% | 30 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 17 | $926.10 |
| 0031A | <1% | 39 | $840.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 345 | $540.96 |
| 76801 | <1% | 17 | $322.31 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 18 | $301.13 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 67 | $218.36 |
| 1159F | <1% | 12,277 | $165.35 | |
| 81003 | <1% | 421 | $158.01 | |
| 90686 | <1% | 420 | $140.66 | |
| 3352F | <1% | 372 | $119.14 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 30 | $115.25 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $106.80 |
| 3008F | <1% | 19,726 | $105.66 | |
| 99173 | <1% | 2,076 | $102.31 | |
| 90697 | <1% | 131 | $98.76 | |
| 3074F | <1% | 10,025 | $92.61 | |
| 92551 | <1% | 1,947 | $73.78 | |
| G0467 | Community health center visit, returning patient | <1% | 1,000 | $58.20 |
| 87807 | <1% | 15 | $57.18 | |
| 81025 | <1% | 113 | $50.19 | |
| 99188 | <1% | 14 | $38.54 | |
| 36416 | <1% | 1,778 | $28.00 | |
| 1160F | <1% | 12,006 | $25.22 | |
| 1000F | <1% | 4,651 | $25.18 | |
| 1034F | <1% | 2,009 | $24.94 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 30 | $15.59 |
| 3078F | <1% | 8,073 | $12.61 | |
| 81001 | <1% | 14 | $8.54 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 98 | $5.00 |
| 1125F | 0% | 2,298 | $0.00 | |
| 1126F | 0% | 7,827 | $0.00 | |
| 1036F | 0% | 8,776 | $0.00 | |
| 3080F | 0% | 230 | $0.00 | |
| 1220F | 0% | 305 | $0.00 | |
| 3075F | 0% | 342 | $0.00 | |
| 3079F | 0% | 2,555 | $0.00 | |
| 3353F | 0% | 89 | $0.00 | |
| 91301 | 0% | 106 | $0.00 | |
| 90651 | 0% | 90 | $0.00 | |
| 99000 | 0% | 223 | $0.00 | |
| 96127 | 0% | 207 | $0.00 | |
| 90744 | 0% | 17 | $0.00 | |
| 90723 | 0% | 40 | $0.00 | |
| 1111F | 0% | 29 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 18 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 16 | $0.00 |
| 99406 | 0% | 17 | $0.00 | |
| 90698 | 0% | 23 | $0.00 | |
| 3077F | 0% | 747 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 141 | $0.00 |
| 90648 | 0% | 145 | $0.00 | |
| 90670 | 0% | 588 | $0.00 | |
| 90633 | 0% | 77 | $0.00 | |
| 96160 | 0% | 55 | $0.00 | |
| 90710 | 0% | 108 | $0.00 | |
| 90681 | 0% | 56 | $0.00 | |
| 91300 | 0% | 16 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 12 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 90734 | 0% | 48 | $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.