1578528626

1578528626 was paid $14K by Medicaid between Jan 2018 and Sep 2018, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider info1578528626

33aNPI1578528626

33bProvider type—

28Total paid$14K

24GClaims385

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 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	385	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	89%	331	198	$13K
94690		4.9%	20	15	$709.71
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	4.6%	16	12	$663.55
93000		1.2%	18	13	$168.17

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.