1487610838

1487610838 was paid $65K by Medicaid between Jan 2018 and Jan 2020, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 79% of everything it billed.

33Billing provider info1487610838

33aNPI1487610838

33bProvider type—

28Total paid$65K

24GClaims709

24DCodes billed3

24AFirst – last monthJan 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	439	$42K
2019	254	$21K
2020	16	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	79%	597	578	$51K
36825		14%	12	12	$9K
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	7.1%	100	92	$5K

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.