1700952108

1700952108 was paid $481K by Medicaid between Apr 2018 and Sep 2022, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider info1700952108

33aNPI1700952108

33bProvider type—

28Total paid$481K

24GClaims4,581

24DCodes billed9

24AFirst – last monthApr 2018 – Sep 2022

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	188	$18K
2019	719	$57K
2020	1,583	$155K
2021	1,257	$152K
2022	834	$100K

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	41%	1,873	864	$199K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	34%	1,062	512	$162K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	1,292	659	$98K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.7%	282	156	$13K
95913		<1%	17	12	$3K
99205	Prolong outpt/office vis	<1%	13	13	$3K
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%	16	12	$2K
95922		<1%	13	12	$739.44
95921		0%	13	12	$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.