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NPI 1780038042
NPI deactivated
1780038042
1780038042 was paid $6.88M by Medicaid between Jan 2018 and Mar 2022, across 93 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider info1780038042
33aNPI1780038042
33bProvider type—
28Total paid$6.88M
24GClaims133,266
24DCodes billed93
24AFirst – last monthJan 2018 – Mar 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 | 10,317 | $1.10M | |
| 2019 | 11,560 | $858K | |
| 2020 | 85,416 | $3.28M | |
| 2021 | 25,102 | $1.57M | |
| 2022 | 871 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 52,297 | 40,661 | $6.86M |
| 0012A | <1% | 160 | 84 | $5K | |
| 0011A | <1% | 173 | 101 | $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 | <1% | 19,413 | 16,171 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,254 | 7,347 | $1K |
| 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% | 594 | 584 | $960.76 |
| 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 | <1% | 2,414 | 2,223 | $705.24 |
| 0064A | <1% | 15 | 15 | $520.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 304 | 304 | $202.65 |
| 59425 | <1% | 914 | 805 | $120.96 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,018 | 1,996 | $57.50 |
| 99000 | <1% | 3,493 | 3,260 | $50.74 |
81 more codes
| 97802 | 0% | 747 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,358 | $0.00 |
| 85018 | 0% | 1,148 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,775 | $0.00 |
| 3008F | 0% | 3,690 | $0.00 | |
| 3079F | 0% | 600 | $0.00 | |
| 99386 | 0% | 52 | $0.00 | |
| 99385 | 0% | 153 | $0.00 | |
| 90723 | 0% | 78 | $0.00 | |
| 3351F | 0% | 482 | $0.00 | |
| 90651 | 0% | 162 | $0.00 | |
| 92551 | 0% | 816 | $0.00 | |
| Z1034 | 0% | 4,664 | $0.00 | |
| 90686 | 0% | 531 | $0.00 | |
| 0501F | 0% | 235 | $0.00 | |
| 99383 | 0% | 80 | $0.00 | |
| 3074F | 0% | 1,163 | $0.00 | |
| Z1032 | 0% | 619 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 666 | $0.00 |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 293 | $0.00 |
| 0500F | 0% | 137 | $0.00 | |
| 93000 | 0% | 125 | $0.00 | |
| Z6410 | 0% | 1,738 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 380 | $0.00 |
| 0503F | 0% | 29 | $0.00 | |
| 3075F | 0% | 338 | $0.00 | |
| 2001F | 0% | 387 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 15 | $0.00 |
| 90647 | 0% | 115 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 413 | $0.00 |
| Z1038 | 0% | 235 | $0.00 | |
| 88141 | 0% | 246 | $0.00 | |
| 3080F | 0% | 262 | $0.00 | |
| 90657 | 0% | 28 | $0.00 | |
| 1031F | 0% | 128 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 34 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 13 | $0.00 |
| 59430 | 0% | 37 | $0.00 | |
| 99384 | 0% | 27 | $0.00 | |
| 90688 | 0% | 26 | $0.00 | |
| 99381 | 0% | 62 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 981 | $0.00 |
| 81025 | 0% | 2,122 | $0.00 | |
| 3077F | 0% | 643 | $0.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 51 | $0.00 |
| 99188 | 0% | 356 | $0.00 | |
| 3078F | 0% | 1,224 | $0.00 | |
| 81002 | 0% | 2,780 | $0.00 | |
| 92552 | 0% | 113 | $0.00 | |
| 99173 | 0% | 1,852 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 189 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 12 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 622 | $0.00 |
| 96160 | 0% | 134 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 207 | $0.00 |
| 90670 | 0% | 281 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 157 | $0.00 |
| 83655 | 0% | 165 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 447 | $0.00 |
| S0197 | Prenatal vitamins, 30-day supply | 0% | 460 | $0.00 |
| 90658 | 0% | 174 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 476 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 261 | $0.00 |
| H1000 | Prenatal care, at-risk assessment | 0% | 84 | $0.00 |
| 0502F | 0% | 1,529 | $0.00 | |
| 90633 | 0% | 187 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 256 | $0.00 |
| 3046F | 0% | 30 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 533 | $0.00 |
| 90715 | 0% | 108 | $0.00 | |
| 90461 | 0% | 12 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 16 | $0.00 |
| 82947 | 0% | 329 | $0.00 | |
| 90734 | 0% | 96 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 114 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 24 | $0.00 |
| 99382 | 0% | 13 | $0.00 | |
| 90700 | 0% | 47 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 21 | $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.