Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1902836174

1902836174 was paid $147K by Medicaid between Oct 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider info1902836174
33aNPI1902836174
33bProvider type—
28Total paid$147K
24GClaims18,186
24DCodes billed19
24AFirst – last monthOct 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018111$0.00
20194,398$5K
20205,680$22K
20213,813$32K
20221,945$34K
20231,302$32K
2024incomplete937$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82% 9,241 4,849 $120K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 15% 759 540 $23K
20610 1.7% 310 206 $3K
64445 <1% 307 209 $667.36
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 <1% 15 12 $449.08
95913 <1% 15 13 $239.30
95886 <1% 18 13 $138.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 88 58 $22.21
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 1,943 1,120 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 805 448 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 892 539 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 717 438 $0.00
7 more codes
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 44 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 202 $0.00
1036F 0% 246 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 691 $0.00
4004F 0% 894 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 0% 974 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 25 $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.