1558895276

1558895276 was paid $817K by Medicaid between Jan 2018 and Dec 2018, across 24 billing codes. Its largest line is 95911, — 15% of everything it billed.

33Billing provider info1558895276

33aNPI1558895276

33bProvider type—

28Total paid$817K

24GClaims8,400

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 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	8,400	$817K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95911		15%	806	592	$120K
95816		13%	480	461	$109K
95886		12%	816	597	$94K
95953		9.9%	321	90	$81K
95957		9.5%	455	172	$78K
95923		8.8%	822	600	$72K
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	6.1%	1,010	976	$50K
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	3.4%	341	335	$27K
92540		2.8%	330	325	$23K
92546		2.8%	330	325	$23K
92548		2.7%	321	316	$22K
92585		2.6%	219	217	$21K

12 more codes

93970		2.5%	343	$20K
95930		1.6%	173	$13K
99203	Doctor's office visit, new patient (routine)	1.6%	217	$13K
93925		1.4%	114	$11K
93930		1.3%	146	$10K
99213	Doctor's office visit, returning patient (routine)	1.2%	294	$10K
92537		1.1%	329	$9K
93886		<1%	48	$4K
93922		<1%	112	$3K
93893		<1%	31	$2K
92547		<1%	330	$1K
99406		0%	12	$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.