1790780872

1790780872 was paid $713K by Medicaid between Jan 2018 and Dec 2022, across 14 billing codes. Its largest line is 95911, — 19% of everything it billed.

33Billing provider info1790780872

33aNPI1790780872

33bProvider type—

28Total paid$713K

24GClaims51,849

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 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	18,199	$152K
2019	11,847	$123K
2020	10,933	$265K
2021	8,315	$112K
2022	2,555	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95911		19%	1,158	1,007	$134K
99205	Prolong outpt/office vis	16%	2,907	2,669	$113K
97032		15%	9,477	1,798	$107K
95886		14%	1,293	1,129	$99K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	2,609	2,144	$84K
20610		7.9%	2,513	2,227	$56K
97035		4.2%	9,317	1,767	$30K
97124		3.9%	9,608	1,828	$28K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	743	674	$22K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	3.0%	9,746	1,856	$21K
99070		1.3%	1,662	1,430	$9K
99441		<1%	317	254	$4K

2 more codes

0001A		<1%	251	$3K
0002A		<1%	248	$3K

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.