1740221597

1740221597 was paid $116K by Medicaid between Jan 2018 and Jul 2020, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider info1740221597

33aNPI1740221597

33bProvider type—

28Total paid$116K

24GClaims2,315

24DCodes billed14

24AFirst – last monthJan 2018 – Jul 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	985	$48K
2019	1,123	$58K
2020	207	$9K

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	68%	1,152	923	$79K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	467	336	$24K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.7%	133	83	$4K
99490	Ccm add 20min	3.4%	148	139	$4K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.5%	16	15	$2K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	29	27	$958.75
99401		<1%	109	100	$771.37
99407		<1%	45	42	$563.73
90674		<1%	13	13	$294.62
Q2035	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	<1%	26	25	$201.98
94762		<1%	17	14	$94.08
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	14	$87.60

2 more codes

90688		<1%	38	$71.36
99403		0%	108	$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.