1639259534

1639259534 was paid $200K by Medicaid between Jan 2018 and Feb 2020, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider info1639259534

33aNPI1639259534

33bProvider type—

28Total paid$200K

24GClaims9,304

24DCodes billed14

24AFirst – last monthJan 2018 – Feb 2020

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	4,834	$105K
2019	4,079	$85K
2020	391	$11K

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	74%	3,727	2,491	$148K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	8.8%	2,017	1,297	$18K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.2%	183	156	$12K
J2010	Injection, lincomycin hcl, up to 300 mg	4.9%	853	542	$10K
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	2.5%	79	64	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	143	89	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	95	84	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	98	37	$817.40
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	13	13	$724.79
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	671	477	$526.76
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,333	887	$375.42
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	34	28	$311.36

2 more codes

90674		<1%	22	$144.30
36415	Collection of venous blood by venipuncture	<1%	36	$51.30

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.