1861431298

1861431298 was paid $781K by Medicaid between Jan 2018 and Aug 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider info1861431298

33aNPI1861431298

33bProvider type—

28Total paid$781K

24GClaims13,353

24DCodes billed13

24AFirst – last monthJan 2018 – Aug 2021

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	1,404	$36K
2019	4,206	$291K
2020	5,799	$318K
2021	1,944	$135K

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	46%	5,327	4,847	$356K
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	15%	1,346	1,251	$120K
20610		15%	2,231	1,773	$119K
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	14%	870	870	$113K
99205	Prolong outpt/office vis	3.5%	189	189	$27K
73564		2.0%	473	425	$16K
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	1.9%	665	457	$15K
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	931	890	$7K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	829	810	$4K
73630		<1%	93	93	$2K
73610		<1%	18	16	$351.71
73560		<1%	13	12	$189.82

1 more codes

99024

368

$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.