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NPI 1528138146
NPI deactivated
1528138146
1528138146 was paid $757K by Medicaid between Jan 2018 and Jun 2020, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 11% of everything it billed.
33Billing provider info1528138146
33aNPI1528138146
33bProvider type—
28Total paid$757K
24GClaims45,530
24DCodes billed45
24AFirst – last monthJan 2018 – Jun 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 | 18,691 | $245K | |
| 2019 | 21,405 | $393K | |
| 2020 | 5,434 | $119K |
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 | 11% | 6,019 | 5,393 | $87K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 1,244 | 1,205 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 1,425 | 1,376 | $72K |
| 96151 | 9.3% | 3,656 | 3,626 | $71K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 1,214 | 1,166 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 1,075 | 1,015 | $50K |
| 97803 | 6.4% | 3,608 | 3,591 | $49K | |
| 92551 | 5.7% | 3,352 | 3,339 | $43K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.7% | 383 | 359 | $36K |
| 96156 | 3.9% | 395 | 394 | $30K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.8% | 2,482 | 2,472 | $29K |
| 90686 | 3.5% | 2,893 | 2,887 | $27K |
33 more codes
| 87110 | 2.0% | 847 | $15K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.8% | 704 | $14K |
| 81000 | 1.6% | 3,837 | $12K | |
| 86580 | 1.0% | 1,538 | $8K | |
| 90670 | <1% | 680 | $6K | |
| 85018 | <1% | 2,264 | $6K | |
| 83655 | <1% | 485 | $5K | |
| 80061 | Lipid panel | <1% | 398 | $5K |
| 90700 | <1% | 464 | $4K | |
| 90698 | <1% | 455 | $4K | |
| 99381 | <1% | 41 | $4K | |
| 90651 | <1% | 451 | $4K | |
| 90707 | <1% | 436 | $4K | |
| 90680 | <1% | 447 | $4K | |
| 90716 | <1% | 444 | $4K | |
| 90734 | <1% | 434 | $4K | |
| 90633 | <1% | 357 | $3K | |
| 90621 | <1% | 303 | $3K | |
| 90744 | <1% | 301 | $3K | |
| 99173 | <1% | 920 | $2K | |
| 90658 | <1% | 221 | $2K | |
| 90713 | <1% | 200 | $2K | |
| 96150 | <1% | 69 | $2K | |
| 85999 | <1% | 408 | $1K | |
| 90715 | <1% | 140 | $1K | |
| 90648 | <1% | 118 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 151 | $1K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 190 | $825.55 |
| 36415 | Collection of venous blood by venipuncture | <1% | 44 | $824.12 |
| 92562 | <1% | 348 | $728.23 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 12 | $600.00 |
| 90649 | <1% | 43 | $387.00 | |
| 90688 | <1% | 34 | $301.30 |
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.