1821159443

1821159443 was paid $1.48M by Medicaid between Jan 2018 and Mar 2020, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.

33Billing provider info1821159443

33aNPI1821159443

33bProvider type—

28Total paid$1.48M

24GClaims16,897

24DCodes billed15

24AFirst – last monthJan 2018 – Mar 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	8,290	$736K
2019	7,353	$623K
2020	1,254	$121K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	88%	8,948	8,138	$1.30M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.4%	2,915	2,667	$66K
G0378	Hospital observation service, per hour	3.7%	2,322	2,085	$54K
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	1.8%	773	688	$26K
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	<1%	507	488	$13K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	186	186	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	191	187	$4K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	52	50	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	265	263	$2K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	31	24	$2K
85018		<1%	395	395	$973.74
92551		<1%	54	54	$484.95

3 more codes

0521		<1%	13	$311.48
81002		<1%	133	$288.59
90472	Immunization administration, each additional vaccine (list separately)	0%	112	$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.