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NPI 1811333842
NPI deactivated
1811333842
1811333842 was paid $1.27M by Medicaid between Jan 2018 and Aug 2019, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider info1811333842
33aNPI1811333842
33bProvider type—
28Total paid$1.27M
24GClaims21,919
24DCodes billed52
24AFirst – last monthJan 2018 – Aug 2019
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 | 12,484 | $783K | |
| 2019 | 9,435 | $485K |
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 | 54% | 3,418 | 3,036 | $680K |
| 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 | 20% | 1,314 | 1,168 | $259K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 799 | 745 | $151K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 768 | 721 | $145K |
| 90649 | 1.2% | 194 | 181 | $16K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 58 | 57 | $12K |
| 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 | <1% | 16 | 16 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | 14 | $2K |
| 90461 | 0% | 275 | 190 | $0.00 | |
| 90715 | 0% | 458 | 431 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 632 | 584 | $0.00 |
| 90713 | 0% | 209 | 200 | $0.00 |
40 more codes
| 83655 | 0% | 237 | $0.00 | |
| 86787 | 0% | 431 | $0.00 | |
| 86480 | 0% | 914 | $0.00 | |
| 86682 | 0% | 491 | $0.00 | |
| 87177 | 0% | 38 | $0.00 | |
| 82652 | 0% | 30 | $0.00 | |
| 83013 | 0% | 26 | $0.00 | |
| 99173 | 0% | 31 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,137 | $0.00 |
| 80074 | 0% | 629 | $0.00 | |
| 90633 | 0% | 176 | $0.00 | |
| 90746 | 0% | 13 | $0.00 | |
| 81025 | 0% | 383 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 541 | $0.00 |
| 90707 | 0% | 66 | $0.00 | |
| 82948 | 0% | 176 | $0.00 | |
| 90714 | 0% | 50 | $0.00 | |
| 80061 | Lipid panel | 0% | 41 | $0.00 |
| 81002 | 0% | 30 | $0.00 | |
| 86708 | 0% | 108 | $0.00 | |
| 90685 | 0% | 21 | $0.00 | |
| 86317 | 0% | 461 | $0.00 | |
| 86592 | 0% | 575 | $0.00 | |
| 90716 | 0% | 223 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,961 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,433 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 484 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 562 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 700 | $0.00 |
| 90686 | 0% | 302 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 206 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 416 | $0.00 |
| 87340 | 0% | 218 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 60 | $0.00 |
| 90688 | 0% | 285 | $0.00 | |
| 86803 | 0% | 192 | $0.00 | |
| 90744 | 0% | 48 | $0.00 | |
| 87517 | 0% | 14 | $0.00 | |
| 86707 | 0% | 14 | $0.00 | |
| 36416 | 0% | 41 | $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.