1649255100

1649255100 was paid $232K by Medicaid between Jan 2018 and Mar 2020, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.

33Billing provider info1649255100

33aNPI1649255100

33bProvider type—

28Total paid$232K

24GClaims20,726

24DCodes billed27

24AFirst – last monthJan 2018 – Mar 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	9,761	$117K
2019	8,191	$85K
2020	2,774	$30K

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	23%	3,532	2,800	$53K
92587		22%	2,357	2,032	$50K
99407		13%	1,541	1,363	$30K
92586		7.9%	1,227	1,141	$18K
G0271	Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes	4.5%	1,237	1,099	$11K
87070		4.5%	1,511	1,404	$10K
90460	Immunization administration through 18 years of age via any route, first or only component	4.5%	591	556	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.9%	1,162	1,022	$9K
99401		3.4%	1,596	1,433	$8K
H0005	Alcohol and/or drug services; group counseling by a clinician	3.1%	921	768	$7K
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	2.9%	263	257	$7K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.7%	249	233	$4K

15 more codes

99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.1%	211	$3K
86580		1.1%	338	$2K
99402		<1%	654	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	164	$2K
S9449	Weight management classes, non-physician provider, per session	<1%	588	$2K
69210		<1%	230	$1K
90658		<1%	391	$1K
99403		<1%	204	$518.27
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	43	$478.04
99173		<1%	981	$452.16
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	173	$154.65
90734		<1%	12	$128.60
36415	Collection of venous blood by venipuncture	<1%	452	$118.35
90686		<1%	82	$117.73
69209		<1%	16	$13.08

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.