1770675464

1770675464 was paid $41K by Medicaid between Jan 2018 and Aug 2022, across 12 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 31% of everything it billed.

33Billing provider info1770675464

33aNPI1770675464

33bProvider type—

28Total paid$41K

24GClaims5,740

24DCodes billed12

24AFirst – last monthJan 2018 – Aug 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	2,646	$13K
2019	923	$6K
2020	728	$8K
2021	787	$6K
2022	656	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	31%	1,256	1,129	$13K
92557		17%	1,355	1,352	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	14%	276	275	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13%	251	251	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	270	265	$4K
92550		7.9%	1,367	1,354	$3K
31231		3.2%	444	434	$1K
92587		2.4%	193	193	$982.32
31575		1.0%	28	25	$427.00
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	<1%	230	230	$181.53
69210		<1%	57	57	$60.12
92563		0%	13	13	$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.