Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1932110061

1932110061 was paid $612K by Medicaid between Jan 2018 and Sep 2019, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider info1932110061
33aNPI1932110061
33bProvider type—
28Total paid$612K
24GClaims17,507
24DCodes billed30
24AFirst – last monthJan 2018 – Sep 2019
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
201811,112$352K
20196,395$260K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 2,777 2,423 $226K
90460 Immunization administration through 18 years of age via any route, first or only component 11% 1,720 1,503 $66K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 927 838 $65K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 881 746 $65K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.4% 706 615 $52K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.0% 879 816 $49K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.1% 426 352 $31K
D0145 Oral evaluation for a patient under three years of age 2.7% 659 580 $17K
99408 1.9% 493 392 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.3% 1,107 1,004 $8K
D1206 Topical application of fluoride varnish 1.2% 656 579 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 66 64 $6K
18 more codes
99406 <1% 495 $4K
96127 <1% 1,045 $4K
90686 <1% 129 $82.75
99172 <1% 1,209 $14.00
90710 0% 241 $0.00
90670 0% 686 $0.00
90633 0% 288 $0.00
81002 0% 42 $0.00
90715 0% 35 $0.00
90734 0% 45 $0.00
90645 0% 533 $0.00
85018 0% 367 $0.00
90723 0% 382 $0.00
90680 0% 465 $0.00
90716 0% 14 $0.00
92587 0% 124 $0.00
90696 0% 95 $0.00
90698 0% 15 $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.