Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1700387644

1700387644 was paid $179K by Medicaid between Jan 2019 and Mar 2023, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider info1700387644
33aNPI1700387644
33bProvider type—
28Total paid$179K
24GClaims55,506
24DCodes billed46
24AFirst – last monthJan 2019 – Mar 2023
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201920,595$24K
202025,505$124K
20213,378$13K
20224,865$16K
20231,163$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65% 12,654 7,720 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19% 2,525 1,798 $34K
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 8.8% 3,999 2,314 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.0% 440 379 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 164 157 $3K
99441 <1% 558 471 $1K
99442 <1% 546 474 $735.79
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% 106 72 $586.36
0031A <1% 43 39 $300.54
99397 <1% 37 31 $253.86
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 30 30 $239.24
99385 <1% 18 18 $226.98
34 more codes
99386 <1% 15 $189.15
0001A <1% 128 $153.90
3725F <1% 1,086 $138.74
0002A <1% 90 $106.34
3075F <1% 3,909 $100.20
90686 <1% 16 $100.00
3074F <1% 4,530 $50.44
98967 <1% 20 $36.20
1158F <1% 423 $12.65
99499 <1% 261 $0.02
3079F 0% 3,553 $0.00
3008F 0% 3,326 $0.00
4010F 0% 3,920 $0.00
4008F 0% 1,533 $0.00
1125F 0% 136 $0.00
1170F 0% 500 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 246 $0.00
1126F 0% 223 $0.00
1101F 0% 476 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 28 $0.00
1111F 0% 18 $0.00
3061F 0% 25 $0.00
3044F 0% 15 $0.00
G0008 Administration of influenza virus vaccine 0% 19 $0.00
3078F 0% 5,037 $0.00
4013F 0% 3,176 $0.00
3288F 0% 507 $0.00
1160F 0% 468 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 22 $0.00
1159F 0% 469 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 82 $0.00
98966 0% 99 $0.00
3045F 0% 16 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 14 $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.