1760823140

1760823140 was paid $587K by Medicaid between Jan 2018 and Sep 2019, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.

33Billing provider info1760823140

33aNPI1760823140

33bProvider type—

28Total paid$587K

24GClaims4,868

24DCodes billed17

24AFirst – last monthJan 2018 – Sep 2019

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	3,503	$402K
2019	1,365	$185K

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	89%	3,591	3,113	$523K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	122	115	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.8%	73	73	$10K
93922		1.4%	72	72	$8K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.2%	44	44	$7K
93882		1.0%	72	72	$6K
93979		<1%	72	72	$5K
94010		<1%	73	73	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	13	13	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	121	120	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	12	12	$2K
93000		<1%	76	76	$2K

5 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	46	$1K
36415	Collection of venous blood by venipuncture	<1%	372	$922.19
90674		<1%	31	$471.68
90472	Immunization administration, each additional vaccine (list separately)	<1%	12	$288.32
96160		0%	66	$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.