1952311821

1952311821 was paid $40K by Medicaid between Jan 2018 and Dec 2018, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider info1952311821

33aNPI1952311821

33bProvider type—

28Total paid$40K

24GClaims1,317

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2018

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	1,317	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	52%	603	553	$21K
99244	Office or other outpatient consultation, moderate to high complexity	31%	229	226	$12K
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	13%	73	71	$5K
A4580	Cast supplies (e.g., plaster)	2.5%	111	84	$1K
A4590	Special casting material (e.g., fiberglass)	1.2%	134	109	$469.00
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%	13	12	$277.46
73100		<1%	82	64	$73.22
73610		0%	13	12	$0.00
73140		0%	35	27	$0.00
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	0%	12	12	$0.00
A4450	Tape, non-waterproof, per 18 square inches	0%	12	12	$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.