1457361024

1457361024 was paid $4.08M by Medicaid between Jan 2018 and Nov 2020, across 33 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider info1457361024

33aNPI1457361024

33bProvider type—

28Total paid$4.08M

24GClaims16,166

24DCodes billed33

24AFirst – last monthJan 2018 – Nov 2020

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	15,507	$4.06M
2020	659	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	33%	4,532	4,490	$1.33M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	9.0%	1,071	1,062	$365K
X4011	State-specific procedure code	8.4%	1,654	1,608	$344K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	7.3%	1,059	1,017	$299K
81025		6.4%	778	758	$263K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	5.9%	734	731	$239K
99282	Emergency department visit for the evaluation and management, low to moderate severity	5.4%	799	797	$218K
81001		5.3%	718	695	$215K
80053	Comprehensive metabolic panel	4.9%	758	733	$201K
71046	Radiologic examination, chest; 2 views	2.6%	296	295	$105K
87070		1.6%	209	209	$67K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	1.5%	151	147	$59K

21 more codes

99285	Emergency room visit (most serious)	1.4%	151	$58K
83690		1.3%	164	$51K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	1.1%	138	$46K
87086	Culture, bacterial; quantitative colony count, urine	1.0%	120	$42K
87420		<1%	109	$35K
81003		<1%	114	$31K
80048	Basic metabolic panel (calcium, ionized)	<1%	60	$20K
82150		<1%	57	$18K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	100	$17K
84484		<1%	72	$14K
96361	Intravenous infusion, hydration; each additional hour	<1%	30	$13K
X4003		<1%	13	$9K
84702		<1%	12	$5K
87808		<1%	13	$4K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	13	$3K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	13	$3K
71045	Radiologic examination, chest; single view	<1%	16	$2K
J3490	Unclassified drugs	<1%	2,085	$1K
J1885	Injection, ketorolac tromethamine, per 15 mg	0%	41	$0.00
J7510	Prednisolone oral, per 5 mg	0%	72	$0.00
J2405	Injection, ondansetron hydrochloride, per 1 mg	0%	14	$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.