1841241304

1841241304 was paid $64K by Medicaid between Jan 2018 and Apr 2020, across 17 billing codes. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 37% of everything it billed.

33Billing provider info1841241304

33aNPI1841241304

33bProvider type—

28Total paid$64K

24GClaims6,299

24DCodes billed17

24AFirst – last monthJan 2018 – Apr 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	2,762	$33K
2019	2,973	$25K
2020	564	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	37%	309	262	$24K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	30%	897	715	$19K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	13%	157	123	$8K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	4.6%	83	66	$3K
81025		3.7%	617	474	$2K
0500F		2.7%	707	572	$2K
81002		2.6%	1,427	1,144	$2K
80305		2.4%	273	204	$2K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	1.4%	214	178	$919.67
0502F		1.0%	481	371	$662.40
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	21	14	$551.13
59430		<1%	17	13	$180.00

5 more codes

0503F	<1%	44	$150.00
3294F	0%	284	$0.00
82950	0%	284	$0.00
3292F	0%	284	$0.00
90715	0%	200	$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.