1528082989

1528082989 was paid $145K by Medicaid between Apr 2018 and Dec 2020, across 20 billing codes. Its largest line is 76815, Ultrasound, pregnant uterus, real time with image documentation, limited — 31% of everything it billed.

33Billing provider info1528082989

33aNPI1528082989

33bProvider type—

28Total paid$145K

24GClaims2,922

24DCodes billed20

24AFirst – last monthApr 2018 – Dec 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	106	$5K
2019	1,403	$81K
2020	1,413	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	31%	768	622	$45K
76819	Fetal biophysical profile; without non-stress testing	18%	395	252	$27K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	15%	146	130	$22K
76820		15%	396	254	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.7%	323	244	$11K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	6.5%	144	126	$9K
59425		4.2%	20	18	$6K
76801		<1%	13	13	$952.57
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	14	12	$844.51
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	20	12	$307.12
81025		<1%	33	29	$193.05
0501F		<1%	48	43	$70.00

8 more codes

82950	<1%	113	$0.73
90723	<1%	78	$0.26
86689	<1%	128	$0.10
3293F	0%	48	$0.00
3513F	0%	47	$0.00
3292F	0%	47	$0.00
3294F	0%	109	$0.00
3291F	0%	32	$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.