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NPI 1548795453
NPI deactivated
1548795453
1548795453 was paid $5.00M by Medicaid between Jul 2018 and Jan 2022, across 62 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider info1548795453
33aNPI1548795453
33bProvider type—
28Total paid$5.00M
24GClaims90,046
24DCodes billed62
24AFirst – last monthJul 2018 – Jan 2022
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 | 2,132 | $201K | |
| 2019 | 17,622 | $1.43M | |
| 2020 | 38,282 | $1.81M | |
| 2021 | 31,963 | $1.55M | |
| 2022 | 47 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 39,043 | 31,948 | $5.00M |
| 0012A | <1% | 44 | 30 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12,441 | 10,716 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,339 | 6,657 | $658.76 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,174 | 1,170 | $408.36 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 579 | 579 | $59.90 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 256 | 252 | $34.30 |
| 81025 | <1% | 733 | 696 | $22.37 | |
| 81003 | <1% | 1,168 | 1,053 | $8.98 | |
| 90647 | 0% | 958 | 958 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 3,081 | 3,070 | $0.00 |
| 90723 | 0% | 948 | 947 | $0.00 |
50 more codes
| 92551 | 0% | 961 | $0.00 | |
| 90651 | 0% | 107 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 394 | $0.00 |
| Z1034 | 0% | 950 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,371 | $0.00 |
| 1220F | 0% | 27 | $0.00 | |
| 99000 | 0% | 371 | $0.00 | |
| 90716 | 0% | 236 | $0.00 | |
| 85018 | 0% | 741 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 90744 | 0% | 33 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 212 | $0.00 |
| 99383 | 0% | 82 | $0.00 | |
| 90696 | 0% | 34 | $0.00 | |
| 99381 | 0% | 240 | $0.00 | |
| 90686 | 0% | 652 | $0.00 | |
| 99384 | 0% | 27 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 31 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 25 | $0.00 |
| 99406 | 0% | 24 | $0.00 | |
| Z1032 | 0% | 15 | $0.00 | |
| 90713 | 0% | 124 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,363 | $0.00 |
| 90473 | 0% | 422 | $0.00 | |
| 96160 | 0% | 3,642 | $0.00 | |
| 81002 | 0% | 136 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 92 | $0.00 |
| 90681 | 0% | 413 | $0.00 | |
| 90707 | 0% | 235 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 411 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,283 | $0.00 |
| 99173 | 0% | 1,460 | $0.00 | |
| 90734 | 0% | 72 | $0.00 | |
| 92552 | 0% | 252 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 538 | $0.00 |
| 90633 | 0% | 662 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| 90670 | 0% | 1,317 | $0.00 | |
| 90700 | 0% | 323 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,086 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 63 | $0.00 |
| 83655 | 0% | 322 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 59 | $0.00 |
| 90715 | 0% | 57 | $0.00 | |
| G8780 | Counseling for diet and physical activity performed | 0% | 108 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 70 | $0.00 |
| 99382 | 0% | 103 | $0.00 | |
| 90710 | 0% | 70 | $0.00 | |
| 99201 | 0% | 26 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 13 | $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.