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NPI 1881703031
NPI deactivated
1881703031
1881703031 was paid $3.21M by Medicaid between Jan 2018 and Jul 2022, across 18 billing codes. Its largest line is 17360, — 26% of everything it billed.
33Billing provider info1881703031
33aNPI1881703031
33bProvider type—
28Total paid$3.21M
24GClaims63,123
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 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 | 9,930 | $528K | |
| 2019 | 13,513 | $647K | |
| 2020 | 15,795 | $732K | |
| 2021 | 17,964 | $988K | |
| 2022 | 5,921 | $315K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 17360 | 26% | 10,180 | 8,253 | $843K | |
| 10040 | 19% | 15,922 | 9,587 | $611K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 10,378 | 9,264 | $577K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.3% | 2,355 | 2,354 | $202K |
| 11901 | 5.5% | 6,625 | 4,567 | $177K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 4,072 | 3,824 | $157K |
| 17110 | 3.4% | 2,336 | 1,729 | $110K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.2% | 1,490 | 1,488 | $104K |
| 11900 | 3.2% | 5,632 | 3,932 | $102K | |
| 46924 | 2.8% | 203 | 157 | $91K | |
| 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 | 2.3% | 848 | 795 | $72K |
| 11102 | 2.1% | 1,228 | 1,037 | $68K |
6 more codes
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.