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NPI 1467653873
NPI deactivated
1467653873
1467653873 was paid $853K by Medicaid between Jan 2018 and Nov 2020, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider info1467653873
33aNPI1467653873
33bProvider type—
28Total paid$853K
24GClaims15,787
24DCodes billed28
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 | 3,248 | $305K | |
| 2019 | 10,254 | $463K | |
| 2020 | 2,285 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 7,385 | 6,280 | $853K |
| 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% | 2,143 | 1,965 | $231.84 |
| 90686 | <1% | 454 | 446 | $162.00 | |
| 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% | 253 | 247 | $18.00 |
| 3008F | <1% | 3,093 | 2,768 | $18.00 | |
| 99173 | 0% | 287 | 286 | $0.00 | |
| 99080 | 0% | 392 | 391 | $0.00 | |
| 90715 | 0% | 31 | 31 | $0.00 | |
| 90633 | 0% | 46 | 46 | $0.00 | |
| 90734 | 0% | 12 | 12 | $0.00 | |
| 83655 | 0% | 14 | 14 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 41 | 40 | $0.00 |
16 more codes
| 99201 | 0% | 14 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 20 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 14 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 28 | $0.00 |
| 81002 | 0% | 25 | $0.00 | |
| 96151 | 0% | 239 | $0.00 | |
| 97802 | 0% | 520 | $0.00 | |
| 85018 | 0% | 221 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 52 | $0.00 |
| 92551 | 0% | 287 | $0.00 | |
| G9658 | A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used | 0% | 27 | $0.00 |
| 96150 | 0% | 117 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| 87110 | 0% | 18 | $0.00 | |
| G0307 | Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) | 0% | 27 | $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.