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NPI 1851391627
NPI deactivated
1851391627
1851391627 was paid $200K by Medicaid between Jan 2019 and Apr 2019, across 89 billing codes. Its largest line is 59425, — 39% of everything it billed.
33Billing provider info1851391627
33aNPI1851391627
33bProvider type—
28Total paid$200K
24GClaims125,395
24DCodes billed89
24AFirst – last monthJan 2019 – Apr 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 | |
|---|---|---|---|
| 2019 | 125,395 | $200K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 39% | 2,934 | 2,203 | $77K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 45,801 | 41,554 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 12,916 | 12,167 | $24K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 9.8% | 57 | 56 | $20K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.5% | 168 | 167 | $11K |
| 99243 | 4.6% | 223 | 222 | $9K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.0% | 111 | 111 | $4K |
| 59430 | 1.6% | 56 | 56 | $3K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.5% | 12 | 12 | $3K |
| 76813 | <1% | 76 | 76 | $2K | |
| 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% | 4,525 | 4,359 | $1K |
| 11721 | <1% | 54 | 54 | $869.18 |
77 more codes
| 11976 | <1% | 14 | $616.32 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 82 | $584.89 |
| 92133 | <1% | 12 | $382.50 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 411 | $132.14 |
| 97803 | <1% | 174 | $126.15 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 656 | $93.08 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 591 | $84.80 |
| 90686 | <1% | 2,394 | $34.00 | |
| 81002 | <1% | 7,150 | $2.15 | |
| 85018 | 0% | 5,238 | $0.00 | |
| 93000 | 0% | 188 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 5,702 | $0.00 |
| 82962 | 0% | 2,169 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,255 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,260 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 493 | $0.00 |
| 90651 | 0% | 288 | $0.00 | |
| 92551 | 0% | 2,589 | $0.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 78 | $0.00 |
| 90680 | 0% | 391 | $0.00 | |
| 0503F | 0% | 13 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,455 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 1,005 | $0.00 |
| 99406 | 0% | 205 | $0.00 | |
| 90647 | 0% | 306 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 182 | $0.00 |
| 99174 | 0% | 896 | $0.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 559 | $0.00 |
| 90723 | 0% | 313 | $0.00 | |
| 86580 | 0% | 203 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 525 | $0.00 |
| 90732 | 0% | 64 | $0.00 | |
| 90716 | 0% | 27 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 39 | $0.00 |
| 90698 | 0% | 92 | $0.00 | |
| 90688 | 0% | 26 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 273 | $0.00 |
| 90744 | 0% | 38 | $0.00 | |
| 96151 | 0% | 174 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 54 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 81 | $0.00 |
| 94760 | 0% | 12 | $0.00 | |
| 3072F | 0% | 27 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 15 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 3,163 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 2,396 | $0.00 |
| 90700 | 0% | 407 | $0.00 | |
| 90715 | 0% | 504 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,251 | $0.00 |
| 90685 | 0% | 302 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 830 | $0.00 |
| 81025 | 0% | 4,059 | $0.00 | |
| 90713 | 0% | 73 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 48 | $0.00 |
| 83655 | 0% | 425 | $0.00 | |
| 90670 | 0% | 1,039 | $0.00 | |
| 90633 | 0% | 463 | $0.00 | |
| 99173 | 0% | 2,030 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 431 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,176 | $0.00 |
| 99219 | 0% | 13 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 118 | $0.00 |
| 90710 | 0% | 145 | $0.00 | |
| 2022F | 0% | 30 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 135 | $0.00 |
| 94150 | 0% | 14 | $0.00 | |
| 90734 | 0% | 206 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 43 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 86 | $0.00 |
| 90648 | 0% | 39 | $0.00 | |
| 99401 | 0% | 194 | $0.00 | |
| 90707 | 0% | 27 | $0.00 | |
| 96152 | 0% | 39 | $0.00 | |
| 90746 | 0% | 13 | $0.00 | |
| A4614 | Peak expiratory flow rate meter, hand held | 0% | 12 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 20 | $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.