1477655298

1477655298 was paid $213K by Medicaid between Jun 2018 and Jan 2020, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 26% of everything it billed.

33Billing provider info1477655298

33aNPI1477655298

33bProvider type—

28Total paid$213K

24GClaims2,951

24DCodes billed11

24AFirst – last monthJun 2018 – Jan 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	207	$11K
2019	2,648	$195K
2020	96	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	26%	354	350	$56K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	20%	1,233	495	$42K
45380	Colonoscopy, flexible; with biopsy, single or multiple	20%	160	158	$41K
99222	Initial hospital care, per day, moderate complexity	19%	640	616	$41K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.5%	263	94	$12K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	3.3%	63	15	$7K
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	3.1%	178	178	$7K
43246		1.3%	12	12	$3K
43264		1.2%	12	12	$2K
43273		<1%	12	12	$928.06
74330		<1%	24	24	$862.80

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.