Home ›
NPI 1881098036
NPI deactivated
1881098036
1881098036 was paid $9.53M by Medicaid between Jan 2018 and Sep 2022, across 66 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider info1881098036
33aNPI1881098036
33bProvider type—
28Total paid$9.53M
24GClaims119,795
24DCodes billed66
24AFirst – last monthJan 2018 – Sep 2022
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 | 13,695 | $1.23M | |
| 2019 | 17,969 | $1.23M | |
| 2020 | 25,235 | $1.82M | |
| 2021 | 32,203 | $2.46M | |
| 2022 | 30,693 | $2.80M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 54,701 | 37,151 | $9.47M |
| T1016 | Case management, each 15 minutes | <1% | 3,409 | 3,002 | $47K |
| 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% | 16,754 | 13,573 | $6K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 10,963 | 5,529 | $5K |
| H0031 | Mental health assessment, by non-physician | <1% | 466 | 446 | $950.87 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,960 | 1,810 | $912.17 |
| 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% | 2,528 | 2,246 | $715.04 |
| 97802 | <1% | 1,057 | 973 | $571.20 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,507 | 1,374 | $555.96 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 542 | 444 | $421.85 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 63 | 61 | $360.32 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 70 | 65 | $300.84 |
54 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,728 | $294.45 |
| 0054A | <1% | 84 | $249.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,078 | $170.64 |
| 97803 | <1% | 410 | $130.56 | |
| 99442 | <1% | 178 | $81.76 | |
| 90715 | <1% | 229 | $64.72 | |
| 90474 | <1% | 40 | $42.66 | |
| 96150 | <1% | 162 | $19.79 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $14.51 |
| 81002 | <1% | 98 | $6.96 | |
| D0270 | 0% | 332 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,173 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 112 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 1,066 | $0.00 |
| D1321 | 0% | 52 | $0.00 | |
| D1354 | 0% | 274 | $0.00 | |
| 90670 | 0% | 91 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 151 | $0.00 |
| 81025 | 0% | 106 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 422 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 26 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 98 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 63 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 191 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 293 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 356 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 26 | $0.00 |
| 96156 | 0% | 794 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 184 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 170 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 3,381 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 1,586 | $0.00 |
| 90686 | 0% | 1,024 | $0.00 | |
| D1310 | 0% | 763 | $0.00 | |
| D1330 | 0% | 762 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 2,059 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 1,691 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 819 | $0.00 |
| D0601 | 0% | 63 | $0.00 | |
| D9995 | 0% | 454 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 124 | $0.00 |
| D1320 | 0% | 198 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 30 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 33 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 355 | $0.00 |
| 99441 | 0% | 63 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 171 | $0.00 |
| 90732 | 0% | 18 | $0.00 | |
| D0602 | 0% | 71 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 18 | $0.00 |
| D0603 | 0% | 35 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 99381 | 0% | 14 | $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.