1760592133

1760592133 was paid $576K by Medicaid between Jan 2018 and Jun 2024, across 21 billing codes. Its largest line is 78815, Positron emission tomography (PET) for limited area imaging — 27% of everything it billed.

33Billing provider info1760592133

33aNPI1760592133

33bProvider type—

28Total paid$576K

24GClaims22,067

24DCodes billed21

24AFirst – last monthJan 2018 – Jun 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	5,875	$122K
2019	4,361	$85K
2020	3,878	$126K
2021	2,372	$78K
2022	2,086	$65K
2023	2,724	$69K
2024incomplete	771	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
78815	Positron emission tomography (PET) for limited area imaging	27%	303	269	$158K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	18%	1,551	717	$102K
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	17%	2,947	2,365	$99K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	8.1%	1,018	802	$47K
J2469	Injection, palonosetron hcl, 25 mcg	6.5%	306	151	$37K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.2%	1,589	1,181	$36K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	5.5%	6,484	3,665	$31K
96375	Therapeutic injection; each additional sequential IV push	2.4%	878	504	$14K
96367		2.3%	494	257	$13K
36415	Collection of venous blood by venipuncture	1.6%	4,671	2,433	$9K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.5%	291	158	$9K
77300		<1%	27	25	$5K

9 more codes

96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	491	$5K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	487	$3K
77338		<1%	13	$3K
96415		<1%	100	$2K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	<1%	33	$2K
96417		<1%	23	$951.23
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	<1%	80	$185.76
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	228	$117.63
G9678	Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement	0%	53	$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.