1942241351

1942241351 was paid $12.22M by Medicaid between Jan 2018 and Jul 2024, across 228 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider info1942241351

33aNPI1942241351

33bProvider type—

28Total paid$12.22M

24GClaims364,901

24DCodes billed228

24AFirst – last monthJan 2018 – Jul 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	89,775	$2.39M
2019	59,040	$2.27M
2020	52,253	$2.04M
2021	65,686	$2.84M
2022	55,312	$1.81M
2023	38,252	$731K
2024incomplete	4,583	$137K

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	29%	67,212	56,542	$3.52M
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	16%	25,535	21,945	$1.94M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	3.3%	4,765	3,173	$398K
77067	Screening mammography, bilateral, including computer-aided detection	2.8%	2,322	2,232	$342K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	2.8%	6,526	6,336	$341K
80053	Comprehensive metabolic panel	2.5%	15,104	13,808	$306K
88305	Level IV - Surgical pathology, gross and microscopic examination	2.4%	9,985	5,210	$296K
92340	Fitting of spectacles, except for aphakia; monofocal	1.5%	5,771	5,459	$186K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.4%	2,681	1,733	$170K
76830	Ultrasound, transvaginal	1.3%	1,140	1,082	$161K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.3%	4,312	4,120	$153K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	1.2%	6,523	6,338	$152K

216 more codes

98941	Chiropractic manipulative treatment; spinal, 3-4 regions	1.2%	3,613	$145K
80061	Lipid panel	1.1%	7,933	$140K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.0%	17,463	$126K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	1.0%	1,620	$125K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	1,269	$122K
71046	Radiologic examination, chest; 2 views	<1%	5,493	$118K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	7,820	$116K
73562		<1%	3,165	$113K
84443	Thyroid stimulating hormone (TSH)	<1%	5,546	$106K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	2,591	$104K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	1,609	$103K
99203	Doctor's office visit, new patient (routine)	<1%	1,773	$103K
73630		<1%	3,596	$98K
80050	General health panel	<1%	892	$97K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	1,313	$95K
36415	Collection of venous blood by venipuncture	<1%	33,549	$87K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	1,196	$79K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	3,403	$77K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	2,184	$76K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	1,969	$75K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	1,261	$72K
83036	Hemoglobin; glycosylated (A1C)	<1%	5,888	$72K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	1,285	$72K
73610		<1%	2,298	$70K
80048	Basic metabolic panel (calcium, ionized)	<1%	4,661	$61K
73110		<1%	1,740	$59K
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	<1%	1,164	$56K
73130		<1%	1,684	$54K
90791	Psychiatric diagnostic evaluation	<1%	527	$53K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	642	$52K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	683	$52K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	1,332	$49K
76801		<1%	468	$46K
73030		<1%	1,687	$45K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	867	$43K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	343	$43K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	630	$42K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,617	$42K
77063	Screening digital breast tomosynthesis, bilateral	<1%	2,278	$37K
92015	Determination of refractive state	<1%	3,261	$37K
82728		<1%	1,798	$36K
86803		<1%	1,921	$34K
90472	Immunization administration, each additional vaccine (list separately)	<1%	2,315	$34K
82607		<1%	1,488	$33K
83013		<1%	142	$32K
73502		<1%	771	$32K
99308	Subsequent nursing facility care, per day, straightforward	<1%	956	$31K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	853	$29K
73140		<1%	862	$28K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	1,306	$22K
90686		<1%	3,709	$22K
76536		<1%	200	$22K
99215	Doctor's office visit, returning patient (complex)	<1%	272	$21K
86780		<1%	1,398	$21K
99204	Doctor's office visit, new patient (more involved)	<1%	214	$21K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	218	$20K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	260	$18K
87086	Culture, bacterial; quantitative colony count, urine	<1%	1,673	$18K
X5622		<1%	1,077	$17K
97161		<1%	381	$17K
83550		<1%	1,738	$16K
0002A		<1%	486	$16K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	265	$15K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,561	$15K
86140		<1%	2,408	$15K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	175	$13K
87340		<1%	1,228	$13K
0240U		<1%	85	$13K
0001A		<1%	501	$13K
76770		<1%	178	$13K
84702		<1%	507	$12K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	72	$12K
83540		<1%	1,773	$12K
17110		<1%	160	$11K
82043		<1%	1,262	$11K
74018		<1%	525	$11K
73080		<1%	446	$11K
80076		<1%	354	$11K
74019		<1%	429	$10K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	<1%	1,114	$10K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	190	$10K
90715		<1%	786	$10K
88342		<1%	445	$10K
87077		<1%	525	$9K
81001		<1%	2,836	$9K
90651		<1%	514	$9K
82570		<1%	1,658	$9K
83970		<1%	147	$8K
90662		<1%	180	$7K
V2020	Frames, purchases	<1%	255	$7K
87186		<1%	519	$7K
90670		<1%	1,104	$6K
84439		<1%	786	$6K
81025		<1%	947	$6K
86480		<1%	53	$6K
82746		<1%	289	$6K
84403		<1%	157	$6K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	123	$6K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	385	$6K
85027		<1%	1,043	$6K
86038		<1%	299	$6K
90792	Psychiatric diagnostic evaluation with medical services	<1%	38	$6K
88307		<1%	292	$5K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	122	$5K
84153		<1%	222	$5K
80069		<1%	191	$5K
87210		<1%	883	$5K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	58	$5K
85610		<1%	636	$4K
72100		<1%	135	$4K
72170		<1%	231	$4K
99238	Hospital discharge day management, 30 minutes or less	<1%	116	$4K
83735		<1%	565	$4K
73590		<1%	188	$4K
87070		<1%	258	$4K
86706		<1%	288	$4K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	85	$4K
82784		<1%	142	$4K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	83	$4K
83690		<1%	370	$3K
0054A		<1%	83	$3K
99307		<1%	144	$3K
92567		<1%	321	$3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	65	$3K
97035		<1%	358	$3K
92341		<1%	90	$3K
86850		<1%	125	$3K
88341		<1%	50	$3K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	53	$3K
84165		<1%	212	$2K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	136	$2K
72110		<1%	49	$2K
81003		<1%	1,168	$2K
83615		<1%	326	$2K
0071A		<1%	56	$2K
86762		<1%	180	$2K
82274		<1%	44	$2K
99188		<1%	452	$2K
86592		<1%	358	$2K
84481		<1%	93	$2K
81015		<1%	416	$2K
G0145	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision	<1%	276	$2K
86431		<1%	166	$2K
99443		<1%	28	$2K
93971		<1%	14	$2K
88304		<1%	436	$2K
0004A		<1%	43	$1K
85652		<1%	453	$1K
82565		<1%	222	$1K
99384		<1%	14	$1K
92551		<1%	499	$1K
73090		<1%	73	$1K
73560		<1%	56	$1K
90785		<1%	129	$1K
84460		<1%	177	$1K
0072A		<1%	28	$1K
84156		<1%	251	$1K
86704		<1%	71	$1K
83001		<1%	52	$1K
87150		<1%	27	$1K
84550		<1%	181	$1K
G0008	Administration of influenza virus vaccine	<1%	315	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	114	$935.94
82670		<1%	29	$926.93
88108		<1%	42	$840.79
36416		<1%	340	$818.41
72082		<1%	14	$764.53
99442		<1%	26	$657.32
84146		<1%	30	$594.68
92557		<1%	24	$579.25
83880		<1%	12	$553.35
90734		<1%	318	$527.57
87205		<1%	93	$501.46
82550		<1%	42	$499.72
90474		<1%	40	$495.21
98968		<1%	24	$452.85
72040		<1%	15	$429.47
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	100	$407.17
0031A		<1%	26	$404.55
G0141	Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician	<1%	176	$391.78
77072		<1%	25	$381.84
Q3014	Telehealth originating site facility fee	<1%	227	$348.10
71045	Radiologic examination, chest; single view	<1%	13	$279.66
84484		<1%	14	$274.67
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	42	$270.71
84450		<1%	39	$255.42
88300		<1%	102	$230.98
99173		<1%	494	$228.90
99441		<1%	28	$208.14
88141		<1%	13	$182.79
88302		<1%	17	$127.54
85651		<1%	47	$121.73
86900		<1%	122	$114.59
86901		<1%	109	$104.54
85018		<1%	27	$71.50
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	12	$71.38
82950		<1%	12	$66.26
81002		<1%	13	$47.26
90461		<1%	16	$38.21
85379		<1%	13	$35.11
91307		0%	100	$0.00
90698		0%	887	$0.00
90680		0%	249	$0.00
90744		0%	183	$0.00
J1885	Injection, ketorolac tromethamine, per 15 mg	0%	13	$0.00
97014		0%	136	$0.00
90696		0%	46	$0.00
91305		0%	152	$0.00
92310		0%	21	$0.00
88311		0%	19	$0.00
91303		0%	25	$0.00
91300		0%	1,193	$0.00
90633		0%	798	$0.00
90710		0%	380	$0.00
90685		0%	131	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	14	$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.