1447798608

1447798608 was paid $112K by Medicaid between Jan 2018 and Jun 2019, across 9 billing codes. Its largest line is 92225, — 33% of everything it billed.

33Billing provider info1447798608

33aNPI1447798608

33bProvider type—

28Total paid$112K

24GClaims3,274

24DCodes billed9

24AFirst – last monthJan 2018 – Jun 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	2,840	$99K
2019	434	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92225		33%	969	955	$36K
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	32%	519	517	$36K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	14%	372	372	$16K
92250		12%	647	642	$13K
92060		5.1%	277	275	$6K
92083		2.2%	139	139	$2K
92015	Determination of refractive state	1.2%	308	308	$1K
92082		<1%	31	31	$451.20
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%	12	12	$282.00

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.