1477658391

1477658391 was paid $547K by Medicaid between Jan 2018 and Jan 2023, across 6 billing codes. Its largest line is 29581, — 61% of everything it billed.

33Billing provider info1477658391

33aNPI1477658391

33bProvider type—

28Total paid$547K

24GClaims9,002

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 2023

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	3,802	$215K
2019	2,936	$196K
2020	1,016	$63K
2021	717	$47K
2022	511	$26K
2023	20	$480.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
29581		61%	3,255	552	$335K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	3,708	1,919	$195K
97597		2.1%	190	95	$12K
11721		<1%	206	206	$4K
11056		<1%	131	131	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,512	610	$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.