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NPI 1760472633
NPI deactivated
1760472633
1760472633 was paid $35K by Medicaid between Jan 2018 and Jun 2018, across 10 billing codes. Its largest line is 31231, — 49% of everything it billed.
33Billing provider info1760472633
33aNPI1760472633
33bProvider type—
28Total paid$35K
24GClaims805
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2018
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 | 805 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 49% | 146 | 131 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 116 | 105 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 10% | 64 | 60 | $4K |
| 92557 | 7.2% | 98 | 87 | $3K | |
| 92567 | 6.5% | 212 | 180 | $2K | |
| 31575 | 5.9% | 33 | 31 | $2K | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 5.8% | 91 | 85 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 16 | 15 | $912.86 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | 12 | $179.25 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 17 | 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.