1942812540

1942812540 was paid $419K by Medicaid between Mar 2021 and Apr 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider info1942812540

33aNPI1942812540

33bProvider type—

28Total paid$419K

24GClaims13,695

24DCodes billed15

24AFirst – last monthMar 2021 – Apr 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
2021	4,584	$113K
2022	4,789	$130K
2023	4,020	$147K
2024incomplete	302	$28K

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	54%	6,951	6,420	$227K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27%	1,807	1,749	$114K
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	15%	1,601	1,461	$62K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.2%	91	87	$9K
81025		1.1%	2,025	1,921	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	239	225	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	71	35	$454.86
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	77	70	$299.83
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	185	171	$253.82
80053	Comprehensive metabolic panel	<1%	123	118	$194.40
81003		<1%	182	168	$145.00
71046	Radiologic examination, chest; 2 views	<1%	15	12	$13.48

3 more codes

G8711	Prescribed antibiotic on or within 3 days after the episode date	0%	104	$0.00
99000		0%	179	$0.00
36415	Collection of venous blood by venipuncture	0%	45	$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.