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NPI 1902836174
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
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 | 111 | $0.00 | |
| 2019 | 4,398 | $5K | |
| 2020 | 5,680 | $22K | |
| 2021 | 3,813 | $32K | |
| 2022 | 1,945 | $34K | |
| 2023 | 1,302 | $32K | |
| 2024incomplete | 937 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.