1588608285

1588608285 was paid $698K by Medicaid between Jan 2018 and Jun 2023, across 47 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 21% of everything it billed.

33Billing provider info1588608285

33aNPI1588608285

33bProvider type—

28Total paid$698K

24GClaims21,410

24DCodes billed47

24AFirst – last monthJan 2018 – Jun 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	9,073	$206K
2019	7,495	$246K
2020	3,355	$192K
2021	659	$25K
2022	471	$17K
2023	357	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	21%	1,980	1,755	$144K
99381		17%	1,187	1,111	$120K
96156		14%	1,191	1,187	$98K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	2,305	1,899	$76K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.0%	481	424	$35K
99462		4.9%	1,456	703	$34K
99460		4.2%	421	416	$29K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.5%	396	339	$25K
92552		2.6%	1,077	1,076	$18K
G9920	Screening performed and negative	2.3%	554	553	$16K
96151		1.7%	552	548	$12K
90670		1.3%	970	966	$9K

35 more codes

96150		1.3%	404	$9K
90744		1.1%	887	$8K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	79	$6K
83655		<1%	240	$5K
90700		<1%	517	$5K
90680		<1%	350	$4K
90698		<1%	430	$4K
90713		<1%	409	$4K
90658		<1%	402	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	81	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	84	$3K
92551		<1%	257	$3K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	53	$3K
90648		<1%	283	$2K
99214	Doctor's office visit, returning patient (more involved)	<1%	82	$2K
81000		<1%	885	$2K
85018		<1%	897	$2K
90681		<1%	202	$2K
90716		<1%	167	$1K
99173		<1%	334	$1K
85999		<1%	331	$987.28
90707		<1%	117	$936.00
86580		<1%	133	$927.82
99464		<1%	13	$831.22
90649		<1%	100	$819.00
36415	Collection of venous blood by venipuncture	<1%	43	$805.39
90633		<1%	71	$639.00
90657		<1%	75	$468.00
92081		<1%	679	$327.02
80061	Lipid panel	<1%	14	$164.91
90734		<1%	17	$153.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	34	$139.50
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	138	$112.61
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	0%	18	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	14	$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.