1578033577

1578033577 was paid $443K by Medicaid between Apr 2019 and Jul 2021, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider info1578033577

33aNPI1578033577

33bProvider type—

28Total paid$443K

24GClaims5,088

24DCodes billed8

24AFirst – last monthApr 2019 – Jul 2021

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
2019	1,851	$146K
2020	1,939	$165K
2021	1,298	$131K

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	37%	1,554	1,408	$164K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	1,994	1,811	$139K
17110		16%	716	528	$71K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.4%	373	373	$37K
11401		3.3%	117	94	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	280	243	$11K
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%	25	25	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	29	29	$2K

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.