1902821648

1902821648 was paid $350K by Medicaid between Jan 2018 and Dec 2021, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider info1902821648

33aNPI1902821648

33bProvider type—

28Total paid$350K

24GClaims9,118

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2021

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	2,739	$96K
2019	2,631	$102K
2020	2,492	$96K
2021	1,256	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	56%	3,841	3,249	$195K
97802		8.7%	806	804	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.7%	832	773	$27K
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	6.4%	237	236	$22K
92552		5.9%	1,003	1,003	$21K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.0%	195	195	$11K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.0%	154	154	$11K
92081		2.8%	249	248	$10K
90621		1.9%	425	425	$7K
90656		1.0%	356	356	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	67	67	$3K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	101	100	$2K

10 more codes

99442		<1%	56	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	265	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	77	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	73	$1K
86580		<1%	245	$1K
90649		<1%	70	$699.00
90734		<1%	26	$260.00
90715		<1%	14	$140.00
90686		<1%	14	$140.00
90700		<1%	12	$120.00

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.