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NPI 1457697161
NPI deactivated
1457697161
1457697161 was paid $2.97M by Medicaid between Jun 2019 and Nov 2024, across 18 billing codes. Its largest line is G0467, community health center visit, returning patient — 62% of everything it billed.
33Billing provider info1457697161
33aNPI1457697161
33bProvider type—
28Total paid$2.97M
24GClaims24,111
24DCodes billed18
24AFirst – last monthJun 2019 – Nov 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 | |
|---|---|---|---|
| 2019 | 1,543 | $163K | |
| 2020 | 7,625 | $810K | |
| 2021 | 4,766 | $620K | |
| 2022 | 3,503 | $448K | |
| 2023 | 3,411 | $453K | |
| 2024incomplete | 3,263 | $478K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 62% | 9,006 | 6,238 | $1.84M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 12% | 2,447 | 2,066 | $361K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 4,557 | 3,867 | $231K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 7.6% | 983 | 907 | $225K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 6.2% | 2,244 | 1,040 | $183K |
| 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 | 2.6% | 300 | 284 | $78K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 313 | 216 | $23K |
| 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% | 2,203 | 1,995 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,296 | 1,229 | $9K |
| 99442 | <1% | 47 | 46 | $3K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 20 | 19 | $2K |
| 99443 | <1% | 14 | 14 | $505.71 |
6 more codes
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.