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NPI 1760600142
NPI deactivated
1760600142
1760600142 was paid $30K by Medicaid between Feb 2018 and Sep 2022, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider info1760600142
33aNPI1760600142
33bProvider type—
28Total paid$30K
24GClaims23,714
24DCodes billed44
24AFirst – last monthFeb 2018 – Sep 2022
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 | 768 | $7K | |
| 2019 | 12,178 | $1K | |
| 2020 | 4,760 | $14K | |
| 2021 | 705 | $6K | |
| 2022 | 5,303 | $3K |
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 | 47% | 1,536 | 988 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 4,553 | 2,134 | $13K |
| 99442 | 7.5% | 633 | 577 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 89 | 86 | $442.84 |
| 99441 | <1% | 86 | 84 | $263.21 | |
| 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 | <1% | 14 | 14 | $105.03 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 121 | 112 | $84.38 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 726 | 486 | $25.56 |
| 93000 | <1% | 386 | 354 | $21.50 | |
| 82962 | <1% | 158 | 29 | $2.23 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 897 | 764 | $2.09 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 54 | 47 | $0.20 |
32 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 448 | $0.11 |
| 1090F | 0% | 883 | $0.00 | |
| 82947 | 0% | 436 | $0.00 | |
| 1160F | 0% | 677 | $0.00 | |
| 1158F | 0% | 469 | $0.00 | |
| 3078F | 0% | 474 | $0.00 | |
| 81002 | 0% | 199 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 950 | $0.00 |
| 1159F | 0% | 610 | $0.00 | |
| 99499 | 0% | 2,527 | $0.00 | |
| 3288F | 0% | 956 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 31 | $0.00 |
| 3017F | 0% | 65 | $0.00 | |
| 1170F | 0% | 506 | $0.00 | |
| 3014F | 0% | 45 | $0.00 | |
| 0012A | 0% | 31 | $0.00 | |
| 1126F | 0% | 244 | $0.00 | |
| 3008F | 0% | 2,745 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 306 | $0.00 |
| 3074F | 0% | 405 | $0.00 | |
| 1111F | 0% | 280 | $0.00 | |
| 94760 | 0% | 318 | $0.00 | |
| 1125F | 0% | 304 | $0.00 | |
| 99385 | 0% | 70 | $0.00 | |
| 2010F | 0% | 217 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 14 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 17 | $0.00 |
| 1157F | 0% | 32 | $0.00 | |
| 3072F | 0% | 21 | $0.00 | |
| 91301 | 0% | 60 | $0.00 | |
| 0011A | 0% | 30 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 91 | $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.