1699739524

1699739524 was paid $116K by Medicaid between Aug 2021 and May 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 57% of everything it billed.

33Billing provider info1699739524

33aNPI1699739524

33bProvider type—

28Total paid$116K

24GClaims4,672

24DCodes billed8

24AFirst – last monthAug 2021 – May 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
2021	929	$18K
2022	1,796	$41K
2023	1,665	$41K
2024incomplete	282	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	57%	1,277	524	$66K
99417	Prolong home eval add 15m	27%	655	310	$31K
99408		7.9%	529	253	$9K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)	6.5%	142	59	$8K
99406		2.0%	415	206	$2K
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	505	248	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,049	458	$0.00
4004F		0%	100	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.