1730114596

1730114596 was paid $66K by Medicaid between Oct 2018 and Jul 2023, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 66% of everything it billed.

33Billing provider info1730114596

33aNPI1730114596

33bProvider type—

28Total paid$66K

24GClaims1,121

24DCodes billed5

24AFirst – last monthOct 2018 – Jul 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	59	$4K
2020	35	$2K
2021	368	$20K
2022	453	$26K
2023	206	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	66%	645	599	$44K
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	24%	337	314	$16K
92060		5.7%	100	90	$4K
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	2.1%	14	14	$1K
96120		1.6%	25	13	$1K

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.