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NPI 1568747137
NPI deactivated
1568747137
1568747137 was paid $4.87M by Medicaid between Jan 2018 and May 2022, across 28 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 info1568747137
33aNPI1568747137
33bProvider type—
28Total paid$4.87M
24GClaims63,288
24DCodes billed28
24AFirst – last monthJan 2018 – May 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 | 5,620 | $935K | |
| 2019 | 8,714 | $1.06M | |
| 2020 | 20,278 | $1.17M | |
| 2021 | 21,209 | $1.28M | |
| 2022 | 7,467 | $434K |
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% | 26,565 | 18,161 | $4.87M |
| 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% | 4,531 | 4,071 | $4K |
| 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 | <1% | 219 | 216 | $979.94 |
| 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% | 648 | 640 | $552.55 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 623 | 603 | $482.10 |
| 99000 | <1% | 4,097 | 3,882 | $116.16 | |
| 81025 | <1% | 871 | 857 | $30.80 | |
| 96160 | <1% | 464 | 463 | $15.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 449 | 437 | $4.46 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 10,685 | 8,414 | $0.36 |
| Z6400 | 0% | 233 | 233 | $0.00 | |
| 90715 | 0% | 213 | 213 | $0.00 |
16 more codes
| S0613 | Annual gynecological examination; clinical breast examination without pelvic evaluation | 0% | 185 | $0.00 |
| Z6500 | 0% | 52 | $0.00 | |
| 81003 | 0% | 5,198 | $0.00 | |
| Z1034 | 0% | 5,357 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,455 | $0.00 |
| Z6410 | 0% | 366 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 204 | $0.00 |
| Z1032 | 0% | 361 | $0.00 | |
| 3351F | 0% | 20 | $0.00 | |
| S0612 | Annual gynecological examination, established patient | 0% | 85 | $0.00 |
| 90686 | 0% | 129 | $0.00 | |
| Z1038 | 0% | 186 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 40 | $0.00 |
| OBUS | 0% | 25 | $0.00 | |
| Z6406 | 0% | 14 | $0.00 | |
| 99070 | 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.