Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1942583075

1942583075 was paid $2.97M by Medicaid between Jan 2018 and Aug 2020, across 108 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider info1942583075
33aNPI1942583075
33bProvider type—
28Total paid$2.97M
24GClaims132,339
24DCodes billed108
24AFirst – last monthJan 2018 – Aug 2020
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
201854,471$462K
201953,062$1.64M
202024,806$867K
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 26% 15,687 13,392 $784K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 19,849 17,075 $738K
T1013 Sign language or oral interpretive services, per 15 minutes 5.3% 6,467 4,906 $159K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 4.8% 2,912 1,815 $142K
X5622 4.7% 4,919 4,381 $140K
90460 Immunization administration through 18 years of age via any route, first or only component 3.6% 3,930 3,772 $107K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.6% 5,087 4,903 $105K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.1% 1,602 1,529 $92K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.2% 1,150 1,087 $66K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.1% 1,215 1,146 $61K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 768 715 $37K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.1% 523 501 $33K
96 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 2,546 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,239 $27K
36415 Collection of venous blood by venipuncture <1% 13,336 $26K
84443 Thyroid stimulating hormone (TSH) <1% 2,056 $25K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 706 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 291 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,493 $21K
99188 <1% 2,450 $19K
87660 <1% 1,252 $19K
87480 <1% 1,253 $19K
87510 <1% 1,251 $19K
92551 <1% 2,958 $15K
80061 Lipid panel <1% 1,439 $14K
90686 <1% 2,838 $14K
80048 Basic metabolic panel (calcium, ionized) <1% 2,107 $12K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 819 $12K
96127 <1% 3,392 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 1,538 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,114 $10K
90651 <1% 338 $10K
90791 Psychiatric diagnostic evaluation <1% 91 $9K
71046 Radiologic examination, chest; 2 views <1% 612 $9K
80053 Comprehensive metabolic panel <1% 907 $8K
99215 Doctor's office visit, returning patient (complex) <1% 85 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 273 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 60 $6K
84466 <1% 453 $6K
90832 Psychotherapy session, about 30 minutes <1% 106 $5K
77067 Screening mammography, bilateral, including computer-aided detection <1% 88 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 138 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 50 $5K
90715 <1% 405 $5K
81001 <1% 1,862 $5K
80050 General health panel <1% 84 $4K
83540 <1% 791 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 468 $4K
81025 <1% 624 $4K
90670 <1% 970 $3K
99173 <1% 2,880 $3K
85027 <1% 1,023 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 270 $3K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 29 $3K
36416 <1% 574 $2K
Q3014 Telehealth originating site facility fee <1% 320 $2K
85018 <1% 901 $2K
98940 <1% 393 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 13 $1K
99383 <1% 14 $1K
90847 Family psychotherapy with the patient present, 50 minutes <1% 31 $1K
90461 <1% 821 $1K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 232 $1K
82565 <1% 385 $1K
99381 <1% 12 $877.10
93000 <1% 132 $815.08
90734 <1% 149 $742.43
98968 <1% 20 $635.68
82947 <1% 172 $555.63
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 12 $510.60
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 12 $510.60
96161 <1% 433 $476.60
83735 <1% 94 $431.77
88142 <1% 74 $389.31
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 296 $361.90
84702 <1% 21 $358.26
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 298 $285.28
86140 <1% 81 $282.50
G0008 Administration of influenza virus vaccine <1% 174 $273.70
90716 <1% 54 $256.35
84460 <1% 57 $232.80
90662 <1% 30 $224.70
85651 <1% 40 $174.09
87086 Culture, bacterial; quantitative colony count, urine <1% 48 $155.22
87081 <1% 279 $154.56
84439 <1% 40 $122.64
81003 <1% 100 $120.22
99443 <1% 12 $96.48
82043 <1% 39 $95.38
82570 <1% 39 $85.22
99441 <1% 32 $79.02
85652 <1% 52 $42.84
99442 <1% 30 $24.89
84132 <1% 25 $7.04
90723 0% 529 $0.00
90647 0% 502 $0.00
90680 0% 327 $0.00
86780 0% 61 $0.00
90696 0% 35 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 0% 25 $0.00
83690 0% 16 $0.00
82950 0% 15 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 0% 17 $0.00
90700 0% 24 $0.00
90633 0% 403 $0.00
80076 0% 12 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 24 $0.00
90710 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.