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NPI 1699916114
NPI deactivated
1699916114
1699916114 was paid $3K by Medicaid between Jan 2018 and Feb 2023, across 9 billing codes. Its largest line is H2011, Crisis intervention service, per 15 minutes — 43% of everything it billed.
33Billing provider info1699916114
33aNPI1699916114
33bProvider type—
28Total paid$3K
24GClaims11,599
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 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 | 3,218 | $0.00 | |
| 2019 | 3,101 | $3K | |
| 2020 | 1,578 | $0.00 | |
| 2021 | 2,365 | $0.00 | |
| 2022 | 1,114 | $0.00 | |
| 2023 | 223 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2011 | Crisis intervention service, per 15 minutes | 43% | 6,216 | 2,626 | $1K |
| 80061 | Lipid panel | 15% | 40 | 40 | $504.87 |
| 80053 | Comprehensive metabolic panel | 14% | 47 | 47 | $468.77 |
| 80050 | General health panel | 13% | 14 | 14 | $457.94 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.4% | 35 | 35 | $255.15 |
| H0030 | Behavioral health hotline service | 4.6% | 4,761 | 2,798 | $157.50 |
| 36415 | Collection of venous blood by venipuncture | 3.8% | 58 | 58 | $131.00 |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 315 | 187 | $0.00 |
| 99075 | 0% | 113 | 85 | $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.