1720181522

1720181522 was paid $23K by Medicaid between Dec 2018 and Dec 2020, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider info1720181522

33aNPI1720181522

33bProvider type—

28Total paid$23K

24GClaims8,103

24DCodes billed27

24AFirst – last monthDec 2018 – Dec 2020

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	276	$2K
2019	5,668	$16K
2020	2,159	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	66%	1,284	912	$15K
36415	Collection of venous blood by venipuncture	16%	984	747	$4K
99443		3.2%	65	50	$723.18
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.7%	54	39	$613.69
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.1%	36	30	$482.12
99442		2.1%	40	36	$467.94
1160F		1.8%	735	636	$397.04
3008F		1.7%	1,015	824	$382.86
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.0%	17	17	$226.88
1159F		<1%	722	623	$212.70
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	450	269	$155.98
3016F		<1%	382	345	$113.44

15 more codes

4037F		<1%	37	$70.90
G0008	Administration of influenza virus vaccine	<1%	16	$42.54
3074F		<1%	330	$42.54
1220F		<1%	76	$28.36
1036F		<1%	202	$28.36
1126F		<1%	53	$14.18
3078F		<1%	310	$14.18
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	198	$14.18
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	0%	451	$0.00
92551		0%	275	$0.00
90674		0%	17	$0.00
1000F		0%	27	$0.00
93000		0%	56	$0.00
99173		0%	259	$0.00
90461		0%	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.