1861491797

1861491797 was paid $150K by Medicaid between Jan 2018 and Apr 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider info1861491797

33aNPI1861491797

33bProvider type—

28Total paid$150K

24GClaims2,846

24DCodes billed7

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	1,388	$78K
2019	1,198	$60K
2020	260	$13K

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	77%	2,160	1,399	$115K
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	21%	398	384	$32K
71046	Radiologic examination, chest; 2 views	1.0%	87	82	$2K
Q2035	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	<1%	29	29	$426.80
36415	Collection of venous blood by venipuncture	<1%	139	124	$333.54
Q2037	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	<1%	16	16	$281.28
G0008	Administration of influenza virus vaccine	<1%	17	17	$85.40

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.