1902263015

1902263015 was paid $646K by Medicaid between Jan 2018 and May 2023, across 3 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.

33Billing provider info1902263015

33aNPI1902263015

33bProvider type—

28Total paid$646K

24GClaims13,244

24DCodes billed3

24AFirst – last monthJan 2018 – May 2023

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	2,121	$115K
2019	1,760	$80K
2020	2,647	$129K
2021	2,934	$144K
2022	2,691	$122K
2023	1,091	$56K

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	94%	4,234	3,626	$606K
0521		6.2%	6,663	2,830	$40K
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%	2,347	2,097	$198.19

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.