1609832542

1609832542 was paid $113K by Medicaid between Jan 2018 and Nov 2022, across 12 billing codes. Its largest line is 67311, — 22% of everything it billed.

33Billing provider info1609832542

33aNPI1609832542

33bProvider type—

28Total paid$113K

24GClaims1,575

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 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	457	$26K
2019	314	$23K
2020	293	$20K
2021	377	$38K
2022	134	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67311		22%	70	46	$25K
99222	Initial hospital care, per day, moderate complexity	21%	320	288	$24K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	17%	288	285	$20K
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	13%	171	156	$15K
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	8.6%	203	175	$10K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	7.9%	101	95	$9K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.2%	130	98	$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	3.4%	105	97	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.9%	51	50	$2K
92015	Determination of refractive state	<1%	66	62	$323.52
92285		<1%	27	25	$287.71
2023F		0%	43	43	$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.