1730487208

1730487208 was paid $619K by Medicaid between Jan 2018 and Nov 2020, across 18 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.

33Billing provider info1730487208

33aNPI1730487208

33bProvider type—

28Total paid$619K

24GClaims19,639

24DCodes billed18

24AFirst – last monthJan 2018 – Nov 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	10,048	$136K
2019	6,813	$364K
2020	2,778	$119K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	35%	2,868	2,783	$220K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	5,510	4,237	$148K
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	20%	2,407	2,181	$124K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	12%	1,595	1,576	$75K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.0%	336	327	$18K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.0%	538	470	$12K
36415	Collection of venous blood by venipuncture	1.1%	4,517	3,923	$7K
99205	Prolong outpt/office vis	<1%	484	447	$4K
99349		<1%	285	223	$3K
99348		<1%	461	324	$3K
99345	Prolong home eval add 15m	<1%	136	121	$2K
98962		<1%	251	148	$1K

6 more codes

99406		<1%	86	$514.72
98960		<1%	42	$225.26
81002		<1%	12	$37.41
99215	Doctor's office visit, returning patient (complex)	0%	59	$0.00
99350	Prolong home eval add 15m	0%	37	$0.00
99344		0%	15	$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.