1477983039

1477983039 was paid $197K by Medicaid between Jan 2018 and Mar 2020, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider info1477983039

33aNPI1477983039

33bProvider type—

28Total paid$197K

24GClaims21,047

24DCodes billed42

24AFirst – last monthJan 2018 – Mar 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	7,916	$171K
2019	10,770	$9K
2020	2,361	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	39%	3,380	2,869	$77K
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%	4,380	2,707	$70K
90853	Group psychotherapy (other than of a multiple-family group)	9.6%	2,600	1,282	$19K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	3.7%	294	188	$7K
99000		2.4%	3,943	1,693	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	279	265	$3K
81025		1.6%	461	242	$3K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	128	88	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	653	618	$2K
90733		<1%	14	14	$2K
92551		<1%	132	124	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	12	12	$984.60

30 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	14	$971.75
80377		<1%	531	$921.15
90749		<1%	193	$579.18
99406		<1%	95	$526.32
87430		<1%	35	$494.70
99173		<1%	152	$339.91
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	21	$304.86
90791	Psychiatric diagnostic evaluation	<1%	41	$298.68
90832	Psychotherapy session, about 30 minutes	<1%	145	$284.90
90715		<1%	14	$236.91
81002		<1%	84	$228.88
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	36	$186.42
36416		<1%	253	$130.96
82962		<1%	132	$74.72
90472	Immunization administration, each additional vaccine (list separately)	<1%	13	$34.20
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	2,443	$4.67
81001		<1%	12	$3.17
G8482	Influenza immunization administered or previously received	<1%	213	$0.44
96127		0%	79	$0.00
81000		0%	12	$0.00
H0049	Alcohol and/or drug screening	0%	13	$0.00
90686		0%	40	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	26	$0.00
36415	Collection of venous blood by venipuncture	0%	12	$0.00
96160		0%	71	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	15	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	22	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	24	$0.00
96153		0%	15	$0.00
80061	Lipid panel	0%	15	$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.