Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1477643708

1477643708 was paid $398K by Medicaid between Jan 2018 and Jan 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider info1477643708
33aNPI1477643708
33bProvider type—
28Total paid$398K
24GClaims8,410
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,936$90K
20192,496$111K
20201,891$78K
20211,395$78K
2022326$19K
2023346$20K
2024incomplete20$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 63% 4,156 3,683 $250K
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 15% 928 809 $61K
20610 6.8% 559 303 $27K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.0% 522 434 $20K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.6% 169 155 $11K
99244 Office or other outpatient consultation, moderate to high complexity 2.5% 68 61 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.5% 504 448 $6K
J1030 Injection, methylprednisolone acetate, 40 mg 1.4% 572 378 $6K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1.1% 365 343 $5K
J1020 Injection, methylprednisolone acetate, 20 mg <1% 197 155 $1K
99205 Prolong outpt/office vis <1% 12 12 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 124 93 $713.79
5 more codes
90686 <1% 32 $613.52
J1040 Injection, methylprednisolone acetate, 80 mg <1% 25 $392.79
36415 Collection of venous blood by venipuncture <1% 153 $4.10
99415 Prolong outpt/office vis 0% 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 12 $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.