Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1619245115

1619245115 was paid $274K by Medicaid between Jan 2018 and Dec 2022, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.

33Billing provider info1619245115
33aNPI1619245115
33bProvider type—
28Total paid$274K
24GClaims9,806
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2022
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,636$54K
20192,225$29K
20203,185$63K
20211,736$60K
20221,024$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 88% 3,720 3,459 $241K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 5.0% 336 311 $14K
99205 Prolong outpt/office vis 3.2% 118 117 $9K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.5% 119 113 $7K
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 <1% 26 26 $2K
20610 <1% 12 12 $694.29
96127 <1% 114 114 $503.31
82962 <1% 150 144 $270.95
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 13 $112.71
1160F <1% 836 778 $0.19
2010F <1% 636 592 $0.14
2000F <1% 555 524 $0.14
14 more codes
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 373 $0.12
1000F <1% 211 $0.12
1036F <1% 446 $0.11
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 152 $0.07
G8752 Most recent systolic blood pressure < 140 mmhg <1% 142 $0.06
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 115 $0.06
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 172 $0.06
3008F <1% 569 $0.03
3078F <1% 201 $0.02
3074F <1% 245 $0.01
99072 0% 62 $0.00
3037F 0% 379 $0.00
1111F 0% 92 $0.00
3079F 0% 12 $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.