1699078766

1699078766 was paid $4.38M by Medicaid between Jan 2018 and May 2021, across 32 billing codes. Its largest line is 99349, — 72% of everything it billed.

33Billing provider info1699078766

33aNPI1699078766

33bProvider type—

28Total paid$4.38M

24GClaims44,621

24DCodes billed32

24AFirst – last monthJan 2018 – May 2021

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	10,000	$907K
2019	13,432	$1.22M
2020	15,914	$1.60M
2021	5,275	$649K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99349		72%	22,060	17,417	$3.15M
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	16%	11,384	8,915	$707K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.2%	7,206	5,359	$313K
99344		2.6%	943	856	$115K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	269	242	$23K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	214	207	$18K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	335	302	$17K
99385		<1%	111	109	$12K
99386		<1%	39	38	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	59	56	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	93	74	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	44	39	$2K

20 more codes

99490	Ccm add 20min	<1%	237	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	182	$2K
99383		<1%	22	$1K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	<1%	102	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	18	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	17	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	13	$995.12
81002		<1%	413	$990.60
93000		<1%	28	$520.44
90649		<1%	16	$257.69
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	18	$157.07
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	139	$0.00
G8422	Bmi not documented, documentation the patient is not eligible for bmi calculation	0%	112	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	15	$0.00
1036F		0%	45	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	22	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	249	$0.00
G8785	Blood pressure reading not documented, reason not given	0%	122	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	33	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	61	$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.