1457345613

1457345613 was paid $252K by Medicaid between Mar 2018 and Jul 2024, across 15 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 44% of everything it billed.

33Billing provider info1457345613

33aNPI1457345613

33bProvider type—

28Total paid$252K

24GClaims6,486

24DCodes billed15

24AFirst – last monthMar 2018 – Jul 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	220	$2K
2019	1,574	$20K
2020	881	$22K
2021	1,299	$43K
2022	947	$36K
2023	1,270	$105K
2024incomplete	295	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	44%	1,741	1,679	$111K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	15%	486	486	$39K
92083		12%	685	684	$30K
92020		11%	1,058	1,052	$27K
92134		5.8%	524	523	$15K
76514		4.9%	1,022	1,016	$12K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.5%	101	100	$9K
92133		2.3%	404	403	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	157	155	$2K
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%	29	25	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	131	125	$0.00
J9035	Injection, bevacizumab, 10 mg	0%	60	55	$0.00

3 more codes

67028	Intravitreal injection of a pharmacologic agent	0%	60	$0.00
2027F		0%	15	$0.00
3284F		0%	13	$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.