1922150481

1922150481 was paid $226K by Medicaid between Jan 2018 and Aug 2019, across 13 billing codes. Its largest line is 98942, — 38% of everything it billed.

33Billing provider info1922150481

33aNPI1922150481

33bProvider type—

28Total paid$226K

24GClaims13,947

24DCodes billed13

24AFirst – last monthJan 2018 – Aug 2019

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	8,597	$134K
2019	5,350	$92K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
98942		38%	3,083	1,049	$85K
98943		24%	3,255	1,094	$53K
97012		11%	2,350	805	$25K
97014		8.6%	2,077	735	$19K
97010		8.0%	2,380	814	$18K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.2%	114	106	$7K
72084		2.7%	132	124	$6K
72170		2.1%	265	252	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.8%	199	176	$4K
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%	27	27	$1K
72100		<1%	26	26	$685.25
72070		<1%	26	26	$647.52

1 more codes

72040

<1%

$282.04

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.