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NPI 1780209866
NPI deactivated
1780209866
1780209866 was paid $1.20M by Medicaid between Aug 2020 and Feb 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider info1780209866
33aNPI1780209866
33bProvider type—
28Total paid$1.20M
24GClaims31,316
24DCodes billed18
24AFirst – last monthAug 2020 – Feb 2024
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 | |
|---|---|---|---|
| 2020 | 250 | $2K | |
| 2021 | 8,282 | $173K | |
| 2022 | 11,651 | $443K | |
| 2023 | 10,479 | $555K | |
| 2024incomplete | 654 | $23K |
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 | 44% | 12,141 | 8,129 | $531K |
| 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 | 38% | 6,410 | 4,317 | $452K |
| 97803 | 11% | 8,449 | 5,257 | $129K | |
| 99205 | Prolong outpt/office vis | 3.1% | 446 | 372 | $37K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 903 | 543 | $10K |
| 0011A | <1% | 303 | 266 | $9K | |
| 0012A | <1% | 262 | 232 | $8K | |
| 97802 | <1% | 182 | 133 | $6K | |
| 96160 | <1% | 335 | 279 | $5K | |
| 96127 | <1% | 611 | 495 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 311 | 234 | $3K |
| 94690 | <1% | 47 | 43 | $1K |
6 more codes
| 99401 | <1% | 710 | $207.05 | |
| 99442 | <1% | 25 | $34.22 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 30 | $30.56 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 72 | $29.03 |
| 99402 | 0% | 41 | $0.00 | |
| 97804 | 0% | 38 | $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.