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NPI 1497437503
NPI deactivated
1497437503
1497437503 was paid $51K by Medicaid between Feb 2024 and Nov 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 52% of everything it billed.
33Billing provider info1497437503
33aNPI1497437503
33bProvider type—
28Total paid$51K
24GClaims747
24DCodes billed3
24AFirst – last monthFeb 2024 – Nov 2024
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 | |
|---|---|---|---|
| 2024incomplete | 747 | $51K |
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 | 52% | 265 | 223 | $27K |
| 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 | 41% | 263 | 168 | $21K |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | 6.9% | 219 | 137 | $4K |
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.