1528238276

1528238276 was paid $53.55M by Medicaid between Jan 2018 and Apr 2023, across 86 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 30% of everything it billed.

33Billing provider info1528238276

33aNPI1528238276

33bProvider type—

28Total paid$53.55M

24GClaims451,675

24DCodes billed86

24AFirst – last monthJan 2018 – Apr 2023

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	26,671	$2.32M
2019	96,327	$12.38M
2020	85,789	$10.98M
2021	110,902	$13.88M
2022	123,162	$12.67M
2023	8,824	$1.31M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	30%	49,983	21,871	$16.33M
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	14%	20,730	6,656	$7.47M
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	10%	48,819	42,686	$5.54M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.2%	51,973	19,506	$3.88M
99223	Prolong inpt eval add15 m	5.6%	14,096	13,263	$3.00M
92586		4.0%	39,713	36,992	$2.17M
99239	Hospital discharge day management, more than 30 minutes	3.6%	36,419	33,874	$1.91M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.5%	15,125	12,242	$1.89M
92650		3.2%	31,294	26,495	$1.69M
99464		2.8%	17,242	15,957	$1.52M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	2.0%	13,504	11,430	$1.06M
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	2.0%	8,323	6,903	$1.05M

74 more codes

99213	Doctor's office visit, returning patient (routine)	1.6%	12,705	$869K
99222	Initial hospital care, per day, moderate complexity	1.6%	5,589	$844K
99244	Office or other outpatient consultation, moderate to high complexity	1.5%	2,376	$777K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	1,919	$470K
99468		<1%	575	$433K
99232	Hospital visit by a doctor, follow-up day	<1%	9,107	$392K
99292		<1%	1,924	$253K
99255		<1%	629	$192K
99243		<1%	1,348	$189K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	<1%	2,001	$182K
99480	Subsequent intensive care, per day, low birth weight infant	<1%	1,960	$159K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	25,215	$156K
76825		<1%	929	$141K
99460		<1%	1,581	$124K
99285	Emergency room visit (most serious)	<1%	736	$92K
93304		<1%	1,127	$91K
99205	Prolong outpt/office vis	<1%	547	$89K
93000		<1%	14,301	$89K
99203	Doctor's office visit, new patient (routine)	<1%	1,185	$72K
99254		<1%	237	$49K
99245		<1%	171	$43K
99462		<1%	1,723	$27K
99479	Subsequent intensive care, per day, very low birth weight infant	<1%	209	$19K
76827		<1%	931	$18K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	71	$14K
85060		<1%	790	$14K
99219		<1%	116	$13K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	1,721	$13K
36415	Collection of venous blood by venipuncture	<1%	2,216	$13K
59410		<1%	14	$12K
76770		<1%	241	$12K
76775		<1%	198	$11K
54161		<1%	63	$10K
99471		<1%	14	$10K
93325		<1%	1,300	$10K
99238	Hospital discharge day management, 30 minutes or less	<1%	516	$9K
92587		<1%	756	$9K
94010		<1%	596	$9K
99476		<1%	27	$9K
99236	Prolong inpt eval add15 m	<1%	46	$9K
99221		<1%	235	$9K
99466		<1%	14	$8K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	80	$6K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	70	$6K
99308	Subsequent nursing facility care, per day, straightforward	<1%	85	$5K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	54	$5K
99442		<1%	170	$5K
99220		<1%	25	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	520	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	105	$4K
99217		<1%	63	$4K
59025	Fetal non-stress test	<1%	618	$4K
81002		<1%	2,546	$4K
99443		<1%	69	$3K
99157		<1%	13	$3K
96900		<1%	176	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	194	$2K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	108	$2K
99253		<1%	16	$1K
93308		<1%	55	$1K
99284	Emergency room visit (serious)	<1%	13	$1K
92651		<1%	58	$951.07
90461		<1%	73	$816.00
92504		<1%	123	$224.99
85044		<1%	995	$152.43
94726		<1%	31	$97.97
94060		<1%	41	$53.90
J7050	Infusion, normal saline solution, 250 cc	<1%	25	$10.41
90686		0%	13	$0.00
90698		0%	27	$0.00
90680		0%	27	$0.00
99024		0%	74	$0.00
99467		0%	14	$0.00
90670		0%	14	$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.