1720017098

1720017098 was paid $646K by Medicaid between Jul 2020 and Nov 2024, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 55% of everything it billed.

33Billing provider info1720017098

33aNPI1720017098

33bProvider type—

28Total paid$646K

24GClaims6,803

24DCodes billed8

24AFirst – last monthJul 2020 – Nov 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
2020	180	$17K
2021	655	$62K
2022	1,666	$165K
2023	1,661	$153K
2024incomplete	2,641	$249K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	55%	4,343	3,280	$359K
99235		15%	731	633	$96K
99236	Prolong inpt eval add15 m	13%	620	607	$85K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	8.8%	483	212	$57K
99220		4.2%	209	196	$27K
99234		3.1%	213	170	$20K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	156	137	$2K
96160		<1%	48	25	$495.00

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.