1780674622

1780674622 was paid $564K by Medicaid between Jan 2018 and May 2020, across 28 billing codes. Its largest line is Z1034, — 27% of everything it billed.

33Billing provider info1780674622

33aNPI1780674622

33bProvider type—

28Total paid$564K

24GClaims12,387

24DCodes billed28

24AFirst – last monthJan 2018 – May 2020

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	6,237	$309K
2019	5,206	$213K
2020	944	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Z1034		27%	2,815	2,037	$154K
Z1032		17%	609	609	$98K
Z6500		12%	539	539	$66K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.8%	412	354	$49K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.2%	129	109	$35K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.3%	341	281	$30K
H1001	Prenatal care, at-risk enhanced service; antepartum management	5.0%	671	410	$28K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.9%	418	361	$22K
59425		3.8%	706	453	$21K
Z6410		1.9%	1,387	1,191	$11K
Z6400		1.7%	1,218	1,184	$9K
J7301	Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg	1.5%	12	12	$9K

16 more codes

99401		1.5%	445	$8K
81025		<1%	1,059	$5K
90686		<1%	132	$3K
99201		<1%	43	$3K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	38	$2K
58300		<1%	24	$2K
Z1038		<1%	29	$2K
99000		<1%	359	$1K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	182	$979.44
Z6406		<1%	86	$657.10
Z6204		<1%	86	$657.10
Z6304		<1%	86	$657.10
Z6308		<1%	29	$220.29
Z6414		<1%	29	$220.29
Z6208		<1%	29	$220.29
H1003	Prenatal care, at-risk enhanced service; education	<1%	474	$211.38

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.