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NPI 1801866538
NPI deactivated
1801866538
1801866538 was paid $5.96M by Medicaid between Jan 2018 and May 2022, across 76 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider info1801866538
33aNPI1801866538
33bProvider type—
28Total paid$5.96M
24GClaims118,379
24DCodes billed76
24AFirst – last monthJan 2018 – May 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 | 33,066 | $1.72M | |
| 2019 | 18,113 | $979K | |
| 2020 | 32,673 | $1.60M | |
| 2021 | 28,233 | $1.30M | |
| 2022 | 6,294 | $363K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 23,653 | 21,545 | $1.59M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 18,994 | 14,962 | $919K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 14,217 | 6,020 | $687K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.6% | 4,268 | 3,935 | $451K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.6% | 2,927 | 2,693 | $154K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.6% | 1,374 | 976 | $154K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 1,606 | 1,494 | $137K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 2,060 | 1,399 | $120K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.9% | 3,490 | 2,820 | $111K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.8% | 3,685 | 2,338 | $107K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.7% | 2,819 | 2,517 | $104K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 1,877 | 1,706 | $103K |
64 more codes
| 99219 | 1.7% | 1,139 | $101K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.5% | 4,683 | $91K |
| 90837 | Psychotherapy session, about an hour | 1.4% | 1,092 | $84K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 7,479 | $75K |
| 59025 | Fetal non-stress test | 1.1% | 2,403 | $66K |
| 76825 | 1.1% | 1,073 | $65K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 75 | $55K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,283 | $53K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 557 | $52K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 568 | $45K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 633 | $44K |
| 99217 | <1% | 699 | $41K | |
| 99235 | <1% | 323 | $40K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,825 | $32K |
| 93000 | <1% | 1,045 | $32K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 252 | $31K |
| 76827 | <1% | 1,060 | $31K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 243 | $28K |
| 76820 | <1% | 988 | $25K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 188 | $25K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 733 | $25K |
| 99221 | <1% | 441 | $24K | |
| 59514 | <1% | 35 | $24K | |
| 81003 | <1% | 1,483 | $22K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 340 | $19K |
| 76801 | <1% | 408 | $17K | |
| 93976 | <1% | 477 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 554 | $15K |
| 99460 | <1% | 245 | $15K | |
| 93325 | <1% | 1,051 | $15K | |
| 94761 | <1% | 472 | $14K | |
| 94010 | <1% | 457 | $14K | |
| 80305 | <1% | 191 | $9K | |
| 54150 | <1% | 61 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 176 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 101 | $6K |
| 93295 | <1% | 229 | $6K | |
| 94060 | <1% | 101 | $6K | |
| 99201 | <1% | 102 | $5K | |
| 99225 | <1% | 82 | $5K | |
| 90686 | <1% | 140 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 223 | $4K |
| 94760 | <1% | 559 | $4K | |
| 99305 | <1% | 136 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 75 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 76 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 21 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $2K |
| 93294 | <1% | 133 | $2K | |
| 76818 | <1% | 41 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 99224 | <1% | 37 | $974.51 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 250 | $916.40 |
| 99218 | <1% | 13 | $843.84 | |
| 78264 | <1% | 48 | $814.84 | |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 80 | $812.80 |
| 58100 | <1% | 22 | $696.67 | |
| 99318 | <1% | 52 | $629.34 | |
| 93298 | <1% | 28 | $517.11 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $462.25 |
| 58300 | <1% | 17 | $390.88 | |
| 94729 | <1% | 13 | $174.41 |
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.