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NPI 1629066139
NPI deactivated
1629066139
1629066139 was paid $6K by Medicaid between Jan 2018 and Apr 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider info1629066139
33aNPI1629066139
33bProvider type—
28Total paid$6K
24GClaims22,668
24DCodes billed29
24AFirst – last monthJan 2018 – Apr 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 | 3,247 | $3K | |
| 2019 | 5,423 | $950.48 | |
| 2020 | 2,898 | $150.68 | |
| 2021 | 1,174 | $98.09 | |
| 2022 | 2,298 | $78.37 | |
| 2023 | 5,852 | $893.87 | |
| 2024incomplete | 1,776 | $636.66 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 92% | 7,890 | 7,071 | $5K |
| 90688 | 3.0% | 500 | 497 | $181.10 | |
| 90662 | 2.4% | 13 | 13 | $143.50 | |
| 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 | <1% | 741 | 737 | $37.50 |
| 3008F | <1% | 1,398 | 1,346 | $26.76 | |
| 96127 | <1% | 21 | 21 | $19.24 | |
| 90686 | <1% | 26 | 26 | $18.00 | |
| 99497 | <1% | 215 | 212 | $17.11 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 293 | 290 | $16.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 734 | 727 | $9.00 |
| 1159F | 0% | 1,420 | 1,362 | $0.00 | |
| 1160F | 0% | 1,741 | 1,671 | $0.00 |
17 more codes
| 3078F | 0% | 1,309 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 45 | $0.00 |
| 3077F | 0% | 483 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 326 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 150 | $0.00 |
| 4004F | 0% | 82 | $0.00 | |
| 90750 | 0% | 22 | $0.00 | |
| 3075F | 0% | 417 | $0.00 | |
| 3080F | 0% | 492 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 678 | $0.00 |
| 3074F | 0% | 1,680 | $0.00 | |
| 3079F | 0% | 720 | $0.00 | |
| 1036F | 0% | 568 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 238 | $0.00 |
| 96156 | 0% | 42 | $0.00 | |
| 99441 | 0% | 396 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 28 | $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.