1952301004

1952301004 was paid $100K by Medicaid between Jan 2018 and Jun 2023, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 43% of everything it billed.

33Billing provider info1952301004

33aNPI1952301004

33bProvider type—

28Total paid$100K

24GClaims5,218

24DCodes billed11

24AFirst – last monthJan 2018 – Jun 2023

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	799	$10K
2019	1,214	$18K
2020	968	$31K
2021	944	$18K
2022	908	$17K
2023	385	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	43%	2,380	2,375	$43K
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	15%	525	525	$15K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	11%	29	29	$11K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	11%	547	547	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.6%	669	628	$8K
92083		5.7%	607	607	$6K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.9%	155	154	$3K
92133		2.5%	202	202	$2K
92020		<1%	56	56	$505.15
76516		<1%	24	24	$451.20
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%	24	24	$168.17

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.