1467877936

1467877936 was paid $437K by Medicaid between Jan 2018 and Feb 2021, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider info1467877936

33aNPI1467877936

33bProvider type—

28Total paid$437K

24GClaims15,759

24DCodes billed23

24AFirst – last monthJan 2018 – Feb 2021

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	5,117	$122K
2019	5,905	$169K
2020	4,352	$133K
2021	385	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	6,021	5,304	$161K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24%	2,402	2,288	$106K
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	17%	1,942	1,814	$73K
95886		4.9%	323	305	$22K
20610		4.9%	1,020	756	$22K
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	3.1%	237	212	$14K
73630		2.2%	719	608	$10K
73562		2.0%	643	559	$9K
73610		1.1%	326	270	$5K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1.0%	568	244	$5K
72110		<1%	194	183	$4K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	899	829	$3K

11 more codes

11721		<1%	134	$2K
64483		<1%	14	$1K
Q4038	Cast supplies, short leg cast, adult (11 years +), fiberglass	<1%	94	$1K
73030		<1%	103	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	13	$513.96
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	18	$290.22
Q4010	Cast supplies, short arm cast, adult (11 years +), fiberglass	<1%	18	$143.33
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	27	$141.44
73100		<1%	13	$133.54
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	14	$109.84
73502		<1%	17	$102.96

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.