Hips

Hips was paid $211K by Medicaid between Jan 2020 and Dec 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoHIPS
WASHINGTON, DC 20002

33aNPI1487198545assigned 12/08/2016

33bProvider typeCase Management Agency

28Total paid$211K

24GClaims4,412

24DCodes billed4

24AFirst – last monthJan 2020 – Dec 2021

Compared with peers

Next to other Case Management Agency providers in District of Columbia

Rank by total paid#38 of 45

Median peer was paid$2.23M

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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
2020	1,970	$85K
2021	2,442	$126K

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	75%	2,570	2,105	$159K
99408		24%	1,796	1,360	$50K
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	<1%	16	16	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	30	24	$528.72

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.

From NPPES

Who's on the registration

Authorized officialCLAY, CYNDEE (EXECUTIVE DIRECTOR)