1588112627

1588112627 was paid $67K by Medicaid between Jan 2018 and Mar 2022, across 9 billing codes. Its largest line is 20611, — 58% of everything it billed.

33Billing provider info1588112627

33aNPI1588112627

33bProvider type—

28Total paid$67K

24GClaims2,962

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 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	1,256	$23K
2019	586	$12K
2020	246	$7K
2021	847	$23K
2022	27	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
20611		58%	1,143	465	$39K
77002		14%	310	132	$9K
20610		10%	395	172	$7K
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	6.9%	190	68	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.4%	238	127	$4K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	2.1%	39	12	$1K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1.8%	593	305	$1K
E1811	Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories	<1%	13	12	$331.51
J7320	Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	<1%	41	14	$257.00

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.