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NPI 1578816120
NPI deactivated
1578816120
1578816120 was paid $2K by Medicaid between Jan 2018 and Dec 2023, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider info1578816120
33aNPI1578816120
33bProvider type—
28Total paid$2K
24GClaims16,972
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 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 | 333 | $457.84 | |
| 2019 | 3,293 | $307.83 | |
| 2020 | 4,427 | $336.59 | |
| 2021 | 3,072 | $107.62 | |
| 2022 | 2,687 | $345.84 | |
| 2023 | 3,160 | $403.92 |
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 | 87% | 2,489 | 2,418 | $2K |
| 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 | 13% | 99 | 99 | $259.48 |
| 1036F | <1% | 1,310 | 1,283 | $0.30 | |
| 1160F | 0% | 2,129 | 2,081 | $0.00 | |
| 3078F | 0% | 1,551 | 1,515 | $0.00 | |
| 3077F | 0% | 108 | 106 | $0.00 | |
| 3016F | 0% | 2,451 | 2,390 | $0.00 | |
| 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 | 0% | 33 | 31 | $0.00 |
| 3511F | 0% | 13 | 13 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 16 | 15 | $0.00 |
| 3079F | 0% | 415 | 409 | $0.00 | |
| 3008F | 0% | 2,474 | 2,415 | $0.00 |
12 more codes
| 36415 | Collection of venous blood by venipuncture | 0% | 1,114 | $0.00 |
| 3074F | 0% | 1,611 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 207 | $0.00 |
| 94760 | 0% | 13 | $0.00 | |
| 3080F | 0% | 54 | $0.00 | |
| 1034F | 0% | 123 | $0.00 | |
| 1220F | 0% | 189 | $0.00 | |
| 3075F | 0% | 209 | $0.00 | |
| 3351F | 0% | 182 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 26 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 12 | $0.00 |
| 1125F | 0% | 144 | $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.