1740574573

1740574573 was paid $24.60M by Medicaid between Jan 2018 and Nov 2024, across 172 billing codes. Its largest line is 99284, emergency room visit (serious) — 16% of everything it billed.

33Billing provider info1740574573

33aNPI1740574573

33bProvider type—

28Total paid$24.60M

24GClaims689,774

24DCodes billed172

24AFirst – last monthJan 2018 – 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
2018	684	$7K
2019	935	$27K
2020	1,806	$55K
2021	86,766	$3.57M
2022	194,045	$7.69M
2023	273,904	$10.02M
2024incomplete	131,634	$3.23M

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	16%	62,395	56,092	$4.04M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	12%	63,199	60,629	$3.00M
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	12%	68,414	61,680	$2.85M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.1%	74,137	69,328	$2.24M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	6.5%	16,593	14,642	$1.59M
H1000	Prenatal care, at-risk assessment	3.7%	18,431	15,463	$917K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.4%	12,839	12,066	$840K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.4%	26,092	9,494	$826K
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	3.2%	8,336	7,623	$777K
99223	Prolong inpt eval add15 m	2.2%	4,691	4,152	$553K
87428		1.9%	15,531	14,419	$478K
99244	Office or other outpatient consultation, moderate to high complexity	1.9%	5,708	5,180	$455K

160 more codes

95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.7%	3,912	$424K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.7%	4,932	$417K
99233	Hospital visit by a doctor, follow-up day (complex)	1.6%	9,022	$406K
99157		1.5%	2,237	$380K
99460		1.5%	7,015	$363K
99238	Hospital discharge day management, 30 minutes or less	1.4%	8,300	$349K
99239	Hospital discharge day management, more than 30 minutes	1.3%	3,983	$328K
99222	Initial hospital care, per day, moderate complexity	1.3%	3,228	$320K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	1.2%	885	$285K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.1%	9,691	$279K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.1%	5,580	$272K
99215	Doctor's office visit, returning patient (complex)	<1%	3,223	$189K
99205	Prolong outpt/office vis	<1%	1,254	$166K
99243		<1%	2,712	$160K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	29,391	$122K
H2019	Therapeutic behavioral services, billed per 15 minutes	<1%	2,033	$117K
59410		<1%	91	$109K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	509	$99K
99254		<1%	880	$87K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	277	$82K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	812	$81K
95117		<1%	6,790	$73K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	1,142	$65K
H1001	Prenatal care, at-risk enhanced service; antepartum management	<1%	599	$65K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	9,094	$58K
99245		<1%	472	$53K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	767	$47K
99155		<1%	752	$43K
99156		<1%	772	$41K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	535	$40K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	<1%	502	$34K
95782		<1%	301	$31K
81003		<1%	14,449	$30K
93308		<1%	789	$26K
99220		<1%	278	$24K
95115		<1%	2,238	$20K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	473	$19K
20610		<1%	636	$16K
59430		<1%	342	$16K
99242		<1%	345	$14K
59515		<1%	12	$13K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	489	$12K
99255		<1%	118	$12K
0002A		<1%	283	$10K
99471		<1%	12	$10K
95720		<1%	44	$10K
94010		<1%	576	$9K
93321		<1%	1,489	$8K
93000		<1%	831	$8K
0001A		<1%	227	$8K
95886		<1%	426	$8K
93304		<1%	164	$8K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	121	$7K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	80	$7K
95816		<1%	141	$7K
H2000	Comprehensive multidisciplinary evaluation	<1%	41	$7K
99463		<1%	101	$6K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	477	$6K
93325		<1%	2,445	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	308	$6K
81025		<1%	452	$6K
90837	Psychotherapy session, about an hour	<1%	52	$5K
99462		<1%	272	$5K
96401		<1%	74	$5K
99454		<1%	267	$5K
99349		<1%	200	$4K
93320		<1%	507	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	62	$4K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	38	$4K
54161		<1%	26	$4K
76801		<1%	41	$3K
95170		<1%	304	$3K
42830		<1%	26	$3K
92015	Determination of refractive state	<1%	240	$3K
99253		<1%	49	$3K
94060		<1%	133	$3K
3078F		<1%	36,942	$3K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	39	$3K
64615		<1%	26	$3K
31231		<1%	17	$3K
83036	Hemoglobin; glycosylated (A1C)	<1%	601	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	378	$2K
99457		<1%	214	$2K
76819	Fetal biophysical profile; without non-stress testing	<1%	62	$2K
99221		<1%	27	$2K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	381	$2K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	12	$2K
51741		<1%	155	$2K
59025	Fetal non-stress test	<1%	34	$2K
99217		<1%	38	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	145	$2K
76825		<1%	28	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	115	$2K
51798		<1%	514	$1K
H0031	Mental health assessment, by non-physician	<1%	12	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	38	$1K
95811		<1%	13	$1K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	19	$1K
82962		<1%	712	$1K
0012A		<1%	64	$1K
99385		<1%	13	$1K
3080F		<1%	104	$1K
94729		<1%	169	$1K
0064A		<1%	116	$892.25
94727		<1%	157	$841.81
99458		<1%	46	$784.95
90715		<1%	43	$758.74
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	36	$738.27
27096		<1%	17	$725.99
93244		<1%	28	$678.28
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	178	$660.53
92060		<1%	69	$453.92
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	14	$449.09
0011A		<1%	21	$444.00
3079F		<1%	2,448	$440.10
99153	Mod sedat endo service >5yrs	<1%	26	$418.60
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	56	$356.25
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	1,618	$347.76
1000F		<1%	25,732	$308.54
99151		<1%	16	$257.86
0004A		<1%	18	$248.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	15	$239.29
G0296	Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	<1%	43	$212.00
0013A		<1%	17	$200.75
99453		<1%	63	$168.22
93016		<1%	13	$158.83
95885		<1%	15	$137.65
76827		<1%	28	$136.69
3074F		<1%	35,326	$125.00
99152		<1%	17	$122.86
76376		<1%	35	$120.44
36415	Collection of venous blood by venipuncture	<1%	55	$120.00
77002		<1%	19	$92.11
80053	Comprehensive metabolic panel	<1%	13	$80.36
92201		<1%	68	$79.98
93018		<1%	13	$65.18
99406		<1%	16	$60.78
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	1,220	$51.25
85018		<1%	44	$28.74
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	14	$25.10
90656		<1%	48	$12.00
1036F		0%	14,920	$0.00
3017F		0%	783	$0.00
4037F		0%	181	$0.00
92551		0%	72	$0.00
3075F		0%	354	$0.00
36416		0%	186	$0.00
1034F		0%	74	$0.00
92250		0%	17	$0.00
1125F		0%	33	$0.00
99495		0%	13	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	7,830	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	27,095	$0.00
3077F		0%	488	$0.00
G8482	Influenza immunization administered or previously received	0%	183	$0.00
91300		0%	59	$0.00
92202		0%	20	$0.00
99173		0%	72	$0.00
95251		0%	32	$0.00
1159F		0%	32	$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.