1770659732

1770659732 was paid $209K by Medicaid between Jan 2018 and Mar 2023, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider info1770659732

33aNPI1770659732

33bProvider type—

28Total paid$209K

24GClaims25,024

24DCodes billed49

24AFirst – last monthJan 2018 – Mar 2023

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	10,009	$86K
2019	12,273	$83K
2020	2,561	$38K
2021	91	$2K
2022	52	$0.00
2023	38	$63.61

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	54%	4,061	3,019	$112K
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	32%	2,603	2,112	$67K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.6%	1,540	1,271	$12K
3008F		<1%	1,520	1,149	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	620	497	$2K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	569	489	$2K
1160F		<1%	1,469	1,123	$1K
1159F		<1%	1,463	1,116	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	201	93	$1K
3074F		<1%	980	746	$1K
3078F		<1%	898	664	$982.40
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	45	40	$904.99

37 more codes

1125F		<1%	1,189	$840.00
36415	Collection of venous blood by venipuncture	<1%	1,206	$804.60
90674		<1%	67	$513.56
3079F		<1%	303	$450.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	59	$335.40
3077F		<1%	198	$330.00
82948		<1%	381	$317.50
81001		<1%	274	$304.61
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	35	$294.53
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	48	$279.64
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	15	$262.15
92551		<1%	35	$229.24
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	231	$213.91
90688		<1%	29	$200.91
3075F		<1%	72	$170.00
1126F		<1%	132	$150.00
81025		<1%	55	$136.94
3080F		<1%	53	$130.00
99173		<1%	54	$95.38
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	91	$88.21
J1020	Injection, methylprednisolone acetate, 20 mg	<1%	25	$63.20
80305		<1%	16	$57.64
83036	Hemoglobin; glycosylated (A1C)	<1%	135	$33.09
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	34	$24.58
G0008	Administration of influenza virus vaccine	<1%	12	$15.42
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	1,247	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	14	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	140	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	42	$0.00
80502		0%	16	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	147	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	397	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	432	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	1,171	$0.00
G8506	Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy	0%	17	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	589	$0.00
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	94	$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.