1811918642

1811918642 was paid $679K by Medicaid between Jan 2018 and Apr 2022, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider info1811918642

33aNPI1811918642

33bProvider type—

28Total paid$679K

24GClaims26,593

24DCodes billed34

24AFirst – last monthJan 2018 – Apr 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	10,383	$261K
2019	8,157	$194K
2020	3,861	$92K
2021	3,396	$102K
2022	796	$30K

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	34%	3,977	3,662	$232K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	5,060	4,665	$190K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	5,346	2,897	$101K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.0%	947	895	$48K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.4%	510	470	$23K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.1%	3,280	2,715	$21K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.4%	337	324	$17K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.9%	1,151	1,070	$13K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.6%	983	474	$11K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	413	402	$6K
92583		<1%	279	264	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	210	193	$4K

22 more codes

99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	70	$4K
D1208	Topical application of fluoride, excluding varnish	<1%	60	$774.00
96127		<1%	216	$731.02
99381		<1%	12	$717.75
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	19	$299.45
99173		<1%	153	$295.14
85018		<1%	94	$225.82
90686		<1%	375	$185.04
36416		<1%	60	$116.49
90648		<1%	284	$45.00
90670		<1%	325	$30.00
90680		<1%	132	$20.00
90723		<1%	179	$20.00
90633		<1%	164	$15.00
90461		<1%	417	$10.50
94760		<1%	1,066	$2.03
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	13	$0.13
90734		0%	13	$0.00
90685		0%	37	$0.00
90716		0%	14	$0.00
90647		0%	14	$0.00
99000		0%	383	$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.