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NPI 1659378487
NPI deactivated
1659378487
1659378487 was paid $191K by Medicaid between Jan 2018 and Dec 2023, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider info1659378487
33aNPI1659378487
33bProvider type—
28Total paid$191K
24GClaims12,997
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2023
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 | 4,763 | $55K | |
| 2019 | 2,427 | $43K | |
| 2020 | 975 | $20K | |
| 2021 | 1,043 | $21K | |
| 2022 | 1,296 | $20K | |
| 2023 | 2,493 | $32K |
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 | 52% | 1,955 | 1,886 | $100K |
| 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 | 14% | 375 | 370 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 11% | 360 | 358 | $22K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.9% | 183 | 179 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 237 | 235 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 125 | 125 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 44 | 44 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 329 | 327 | $3K |
| 90674 | 1.3% | 116 | 114 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 49 | 49 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 263 | 258 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 193 | 190 | $2K |
27 more codes
| 81000 | <1% | 661 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 77 | $740.88 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 29 | $404.40 |
| 90686 | <1% | 24 | $339.84 | |
| 87210 | <1% | 80 | $291.65 | |
| 90658 | <1% | 19 | $277.17 | |
| 99406 | <1% | 25 | $211.06 | |
| 99441 | <1% | 29 | $197.01 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 801 | $0.00 |
| 3079F | 0% | 116 | $0.00 | |
| 3074F | 0% | 743 | $0.00 | |
| 3008F | 0% | 2,713 | $0.00 | |
| 1036F | 0% | 1,417 | $0.00 | |
| 3075F | 0% | 166 | $0.00 | |
| 3353F | 0% | 52 | $0.00 | |
| 1000F | 0% | 142 | $0.00 | |
| 3354F | 0% | 12 | $0.00 | |
| 3352F | 0% | 15 | $0.00 | |
| 3080F | 0% | 65 | $0.00 | |
| 1220F | 0% | 15 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 4004F | 0% | 219 | $0.00 | |
| 3077F | 0% | 139 | $0.00 | |
| 3078F | 0% | 837 | $0.00 | |
| 3016F | 0% | 172 | $0.00 | |
| 3725F | 0% | 175 | $0.00 | |
| 91300 | 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.