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NPI 1578524112
NPI deactivated
1578524112
1578524112 was paid $2.26M by Medicaid between Jan 2018 and Aug 2023, across 100 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider info1578524112
33aNPI1578524112
33bProvider type—
28Total paid$2.26M
24GClaims197,383
24DCodes billed100
24AFirst – last monthJan 2018 – Aug 2023
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 | 30,064 | $492K | |
| 2019 | 34,658 | $444K | |
| 2020 | 29,012 | $373K | |
| 2021 | 37,238 | $387K | |
| 2022 | 43,246 | $366K | |
| 2023 | 23,165 | $202K |
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 | 47% | 31,030 | 26,957 | $1.07M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 12% | 4,687 | 4,449 | $282K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 8,096 | 7,057 | $265K |
| 93000 | 6.0% | 12,501 | 11,879 | $137K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.3% | 10,281 | 2,268 | $121K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 1,102 | 1,100 | $69K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 1,469 | 1,394 | $53K |
| 93015 | 1.9% | 763 | 722 | $42K | |
| 99205 | Prolong outpt/office vis | 1.9% | 702 | 656 | $42K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 451 | 451 | $23K |
| 93351 | <1% | 204 | 194 | $22K | |
| 99497 | <1% | 1,413 | 1,286 | $21K |
88 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 310 | $16K |
| 93224 | <1% | 187 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 196 | $13K |
| 90688 | <1% | 962 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 302 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 811 | $9K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,157 | $8K |
| 96127 | <1% | 7,663 | $7K | |
| 99408 | <1% | 1,182 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 435 | $6K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 521 | $4K |
| 99254 | <1% | 28 | $3K | |
| 99406 | <1% | 535 | $2K | |
| 93356 | <1% | 169 | $2K | |
| 93880 | <1% | 82 | $2K | |
| 99072 | <1% | 9,980 | $2K | |
| 94010 | <1% | 45 | $781.08 | |
| 99496 | <1% | 12 | $777.06 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 50 | $510.07 |
| 90662 | <1% | 130 | $455.96 | |
| 99423 | <1% | 16 | $298.48 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 179 | $260.01 |
| 93018 | <1% | 12 | $250.05 | |
| G0008 | Administration of influenza virus vaccine | <1% | 367 | $193.80 |
| 90658 | <1% | 14 | $190.22 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 330 | $184.10 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 334 | $178.85 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 528 | $168.04 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 528 | $160.52 |
| 99422 | <1% | 20 | $97.21 | |
| 93308 | <1% | 12 | $95.99 | |
| 86580 | <1% | 34 | $91.76 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 355 | $79.62 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 15 | $18.37 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13,370 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,938 | $0.00 |
| 1124F | 0% | 602 | $0.00 | |
| 3077F | 0% | 265 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 698 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 424 | $0.00 |
| 3078F | 0% | 7,882 | $0.00 | |
| 4040F | 0% | 484 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 284 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 607 | $0.00 |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | 0% | 165 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,446 | $0.00 |
| M1055 | Aspirin or another antiplatelet therapy used | 0% | 25 | $0.00 |
| 3046F | 0% | 796 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 94 | $0.00 |
| G2089 | Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% | 0% | 33 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 123 | $0.00 |
| 3288F | 0% | 467 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 731 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 18 | $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 |
| 3051F | 0% | 23 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 15 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 19 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 859 | $0.00 |
| 1036F | 0% | 1,665 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 11,291 | $0.00 |
| 3074F | 0% | 6,718 | $0.00 | |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 2,510 | $0.00 |
| 3008F | 0% | 6,176 | $0.00 | |
| 3079F | 0% | 3,782 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,331 | $0.00 |
| 4086F | 0% | 5,569 | $0.00 | |
| 3044F | 0% | 1,408 | $0.00 | |
| 3075F | 0% | 4,103 | $0.00 | |
| 3017F | 0% | 362 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 1,323 | $0.00 |
| 4008F | 0% | 4,606 | $0.00 | |
| 1000F | 0% | 1,973 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,047 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 990 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,105 | $0.00 |
| G9189 | Beta-blocker therapy prescribed or currently being taken | 0% | 557 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 324 | $0.00 |
| 1111F | 0% | 673 | $0.00 | |
| 4010F | 0% | 806 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 80 | $0.00 |
| 4210F | 0% | 64 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 65 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 108 | $0.00 |
| 3014F | 0% | 14 | $0.00 | |
| M1200 | Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period | 0% | 17 | $0.00 |
| G8475 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed, reason not given | 0% | 119 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 16 | $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.