1598780694

1598780694 was paid $483K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider info1598780694

33aNPI1598780694

33bProvider type—

28Total paid$483K

24GClaims13,055

24DCodes billed18

24AFirst – last monthJan 2018 – Sep 2024

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	1,696	$73K
2019	2,005	$92K
2020	2,183	$65K
2021	1,417	$80K
2022	3,429	$81K
2023	1,950	$68K
2024incomplete	375	$24K

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	68%	6,762	4,609	$328K
93000		9.6%	1,574	1,489	$46K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	8.7%	266	266	$42K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	7.4%	489	474	$36K
99454		2.0%	1,238	1,238	$10K
99457		1.5%	1,238	1,238	$7K
99458		1.2%	1,235	1,235	$6K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	12	12	$3K
93015		<1%	26	25	$2K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	<1%	12	12	$876.24
J0153	Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)	<1%	12	12	$708.24
90688		<1%	13	13	$289.90

6 more codes

90686		<1%	12	$288.48
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	18	$281.52
85610		<1%	59	$218.01
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	25	$143.75
99453		<1%	51	$17.31
93793		0%	13	$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.