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NPI 1629174248
NPI deactivated
1629174248
1629174248 was paid $2.51M by Medicaid between Jan 2018 and Mar 2022, across 129 billing codes. Its largest line is 87389, Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies — 13% of everything it billed.
33Billing provider info1629174248
33aNPI1629174248
33bProvider type—
28Total paid$2.51M
24GClaims503,206
24DCodes billed129
24AFirst – last monthJan 2018 – Mar 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 | 86,141 | $416K | |
| 2019 | 138,808 | $638K | |
| 2020 | 144,192 | $721K | |
| 2021 | 119,520 | $648K | |
| 2022 | 14,545 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 13% | 6,959 | 6,134 | $314K |
| 80053 | Comprehensive metabolic panel | 12% | 60,657 | 40,245 | $304K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 8.2% | 8,661 | 7,351 | $205K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.0% | 61,651 | 40,920 | $176K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 5.1% | 5,758 | 5,384 | $127K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.2% | 13,304 | 11,275 | $106K |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.6% | 22,662 | 14,689 | $90K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 9,933 | 9,369 | $78K |
| 80074 | 2.7% | 3,875 | 3,211 | $67K | |
| 84703 | 2.6% | 18,757 | 16,711 | $66K | |
| 83735 | 2.5% | 18,846 | 9,273 | $63K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.3% | 1,729 | 1,572 | $58K |
117 more codes
| 84484 | 2.0% | 12,748 | $50K | |
| 83690 | 1.5% | 11,502 | $38K | |
| 80061 | Lipid panel | 1.4% | 12,735 | $34K |
| 83880 | 1.3% | 3,616 | $33K | |
| 87280 | 1.3% | 4,152 | $33K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.1% | 1,294 | $28K |
| 85730 | 1.1% | 8,613 | $27K | |
| 81001 | 1.1% | 20,377 | $27K | |
| 86141 | 1.1% | 3,136 | $26K | |
| 82805 | 1.0% | 1,700 | $26K | |
| 86901 | <1% | 10,521 | $24K | |
| 86850 | <1% | 7,462 | $21K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 3,412 | $21K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,160 | $21K |
| 88307 | <1% | 467 | $21K | |
| 85610 | <1% | 10,578 | $20K | |
| 83605 | <1% | 3,734 | $18K | |
| 86900 | <1% | 10,276 | $18K | |
| 87040 | <1% | 2,306 | $18K | |
| 82553 | <1% | 3,980 | $15K | |
| 88304 | <1% | 784 | $14K | |
| 86592 | <1% | 7,018 | $14K | |
| 84439 | <1% | 3,118 | $14K | |
| 84100 | <1% | 8,189 | $13K | |
| 81000 | <1% | 9,252 | $12K | |
| 85379 | <1% | 3,229 | $12K | |
| 82607 | <1% | 2,065 | $12K | |
| 82550 | <1% | 5,295 | $12K | |
| 87088 | <1% | 2,120 | $11K | |
| 85018 | <1% | 9,012 | $10K | |
| 83519 | <1% | 1,495 | $10K | |
| 85014 | <1% | 8,417 | $10K | |
| 82728 | <1% | 2,610 | $9K | |
| 82248 | <1% | 4,380 | $9K | |
| 82746 | <1% | 1,439 | $8K | |
| 80202 | <1% | 1,014 | $7K | |
| 83874 | <1% | 1,190 | $7K | |
| 82247 | <1% | 4,116 | $7K | |
| 87590 | <1% | 503 | $6K | |
| 82140 | <1% | 1,607 | $6K | |
| 87490 | <1% | 480 | $6K | |
| 80164 | <1% | 1,306 | $6K | |
| 81003 | <1% | 5,958 | $6K | |
| 80055 | <1% | 358 | $6K | |
| 85651 | <1% | 2,378 | $5K | |
| 84030 | <1% | 2,036 | $5K | |
| 87070 | <1% | 1,755 | $5K | |
| 80076 | <1% | 1,616 | $5K | |
| 82570 | <1% | 2,250 | $5K | |
| 82948 | <1% | 2,974 | $5K | |
| 84702 | <1% | 1,188 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 862 | $5K |
| 81025 | <1% | 2,549 | $4K | |
| 87186 | <1% | 677 | $4K | |
| 87210 | <1% | 1,685 | $4K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 39 | $3K |
| 88312 | <1% | 214 | $3K | |
| 86880 | <1% | 1,157 | $3K | |
| 82803 | <1% | 422 | $3K | |
| 86003 | <1% | 1,807 | $3K | |
| 80069 | <1% | 719 | $3K | |
| 80185 | <1% | 394 | $2K | |
| 83615 | <1% | 1,128 | $2K | |
| 84550 | <1% | 1,505 | $2K | |
| 84153 | <1% | 327 | $2K | |
| 86140 | <1% | 824 | $2K | |
| 83655 | <1% | 279 | $2K | |
| 86920 | <1% | 645 | $2K | |
| 82040 | <1% | 762 | $2K | |
| 86480 | <1% | 58 | $2K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 35 | $1K |
| 85044 | <1% | 759 | $1K | |
| 82009 | <1% | 1,237 | $1K | |
| 87641 | <1% | 56 | $1K | |
| 87077 | <1% | 1,114 | $1K | |
| 83540 | <1% | 343 | $1K | |
| 82043 | <1% | 576 | $1K | |
| 82150 | <1% | 340 | $1K | |
| 84480 | <1% | 229 | $1K | |
| 86703 | <1% | 108 | $990.31 | |
| 88342 | <1% | 157 | $869.43 | |
| 82947 | <1% | 455 | $765.06 | |
| 87205 | <1% | 436 | $758.95 | |
| 86606 | <1% | 140 | $714.00 | |
| 86803 | <1% | 93 | $623.10 | |
| 85660 | <1% | 250 | $582.50 | |
| 87081 | <1% | 195 | $559.89 | |
| 87420 | <1% | 68 | $533.80 | |
| 83970 | <1% | 34 | $531.37 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 61 | $476.05 |
| 87449 | <1% | 58 | $462.56 | |
| 82378 | <1% | 56 | $348.93 | |
| 85008 | <1% | 2,840 | $345.24 | |
| 84156 | <1% | 242 | $275.49 | |
| 83550 | <1% | 61 | $263.40 | |
| 87075 | <1% | 44 | $262.80 | |
| 84132 | <1% | 190 | $262.10 | |
| 88313 | <1% | 13 | $245.80 | |
| 80320 | <1% | 4,634 | $225.00 | |
| 86706 | <1% | 34 | $217.00 | |
| 84999 | <1% | 100 | $192.00 | |
| 80178 | <1% | 62 | $180.88 | |
| 87340 | <1% | 28 | $178.17 | |
| 84479 | <1% | 93 | $160.84 | |
| 85385 | <1% | 55 | $145.47 | |
| 82652 | <1% | 20 | $144.66 | |
| 88311 | <1% | 26 | $126.50 | |
| 86765 | <1% | 31 | $118.90 | |
| 86787 | <1% | 16 | $105.00 | |
| 84436 | <1% | 27 | $77.62 | |
| 85007 | <1% | 38 | $66.54 | |
| 80047 | <1% | 12 | $41.40 | |
| 85384 | <1% | 15 | $39.45 | |
| 84478 | <1% | 19 | $31.50 | |
| 84300 | <1% | 14 | $29.68 | |
| 82270 | <1% | 14 | $17.36 | |
| 80329 | 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.