1538332341

1538332341 was paid $28K by Medicaid between Jan 2018 and Sep 2018, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider info1538332341

33aNPI1538332341

33bProvider type—

28Total paid$28K

24GClaims1,112

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2018

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	1,112	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	80%	388	349	$22K
64483		14%	17	14	$4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	5.3%	143	125	$1K
J1030	Injection, methylprednisolone acetate, 40 mg	1.1%	68	57	$317.10
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	51	39	$38.02
A4209	Syringe with needle, sterile 5 cc or greater, each	<1%	145	129	$6.92
A4215	Needle, sterile, any size, each	<1%	202	169	$0.54
A4550	Surgical trays	0%	98	45	$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.