1699260083

1699260083 was paid $1.38M by Medicaid between Sep 2019 and Mar 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider info1699260083

33aNPI1699260083

33bProvider type—

28Total paid$1.38M

24GClaims70,508

24DCodes billed41

24AFirst – last monthSep 2019 – Mar 2024

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
2019	3,327	$44K
2020	10,220	$205K
2021	14,333	$245K
2022	17,449	$353K
2023	22,331	$436K
2024incomplete	2,848	$99K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	31%	15,620	11,741	$426K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	16%	6,673	2,835	$223K
99205	Prolong outpt/office vis	11%	2,513	1,930	$154K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.3%	3,285	2,413	$129K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.7%	6,111	4,795	$121K
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	4.4%	1,233	931	$61K
J9271	Injection, pembrolizumab, 1 mg	3.6%	44	25	$50K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.3%	1,119	863	$46K
96417		2.9%	1,735	878	$41K
99195		1.8%	1,044	614	$25K
96401		1.1%	728	479	$15K
96416		1.0%	472	115	$14K

29 more codes

96411		1.0%	662	$14K
96367		<1%	3,928	$10K
96415		<1%	960	$9K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	3,014	$8K
J2469	Injection, palonosetron hcl, 25 mcg	<1%	1,472	$7K
96375	Therapeutic injection; each additional sequential IV push	<1%	3,110	$5K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	2,051	$5K
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	<1%	4,126	$5K
96402		<1%	425	$4K
J1453	Injection, fosaprepitant, 1 mg	<1%	111	$2K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	<1%	516	$2K
J9190	Injection, fluorouracil, 500 mg	<1%	642	$1K
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	3,419	$872.45
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	2,071	$851.33
36591		<1%	459	$846.29
99223	Prolong inpt eval add15 m	<1%	17	$824.33
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	46	$668.38
J3490	Unclassified drugs	<1%	1,323	$663.33
J3489	Injection, zoledronic acid, 1 mg	<1%	16	$199.45
J7030	Infusion, normal saline solution , 1000 cc	<1%	109	$186.82
96377		<1%	72	$177.64
J2920	Injection, methylprednisolone sodium succinate, up to 40 mg	<1%	332	$160.86
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	227	$90.61
96368		<1%	260	$48.70
J2780	Injection, ranitidine hydrochloride, 25 mg	<1%	27	$47.91
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	75	$7.22
Q0138	Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	<1%	366	$0.92
S0028	Injection, famotidine, 20 mg	0%	57	$0.00
96523		0%	38	$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.