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NPI 1760400402
NPI deactivated
1760400402
1760400402 was paid $31K by Medicaid between Jan 2018 and Aug 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider info1760400402
33aNPI1760400402
33bProvider type—
28Total paid$31K
24GClaims1,515
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2021
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 | 281 | $4K | |
| 2019 | 469 | $7K | |
| 2020 | 493 | $11K | |
| 2021 | 272 | $9K |
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 | 55% | 728 | 689 | $17K |
| 76872 | 32% | 326 | 312 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13% | 461 | 451 | $4K |
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.