1861886350

1861886350 was paid $3.85M by Medicaid between Jan 2018 and Jul 2020, across 18 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 21% of everything it billed.

33Billing provider info1861886350

33aNPI1861886350

33bProvider type—

28Total paid$3.85M

24GClaims24,243

24DCodes billed18

24AFirst – last monthJan 2018 – Jul 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	7,981	$1.21M
2019	9,474	$1.58M
2020	6,788	$1.07M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	21%	3,730	3,730	$817K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	19%	2,572	2,569	$745K
42820	Tonsillectomy and adenoidectomy; younger than age 12	17%	1,537	1,537	$641K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	6,800	6,532	$516K
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	13%	3,311	3,270	$485K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.9%	1,082	1,082	$151K
42830		3.6%	492	492	$138K
31231		2.5%	681	679	$98K
31622		1.4%	542	514	$55K
31526		1.3%	361	356	$52K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.3%	135	135	$49K
69205		<1%	281	280	$31K

6 more codes

92579	<1%	593	$23K
92567	<1%	1,088	$15K
69610	<1%	28	$14K
92557	<1%	410	$14K
92587	<1%	588	$11K
92556	<1%	12	$386.28

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.