1932747177

1932747177 was paid $138K by Medicaid between Mar 2021 and Jun 2022, across 12 billing codes. Its largest line is 99243, — 34% of everything it billed.

33Billing provider info1932747177

33aNPI1932747177

33bProvider type—

28Total paid$138K

24GClaims1,922

24DCodes billed12

24AFirst – last monthMar 2021 – Jun 2022

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
2021	1,253	$102K
2022	669	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		34%	477	474	$47K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	474	416	$35K
31231		23%	189	188	$32K
69210		4.1%	204	149	$6K
94010		3.6%	197	184	$5K
69200		2.2%	50	50	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.0%	28	28	$3K
92557		1.9%	97	95	$3K
92588		1.8%	97	95	$3K
31575		<1%	12	12	$907.04
92567		<1%	68	66	$812.14
92550		<1%	29	29	$409.13

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.