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NPI 1952496663
NPI deactivated
1952496663
1952496663 was paid $449K by Medicaid between Jan 2018 and Jul 2024, across 38 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 15% of everything it billed.
33Billing provider info1952496663
33aNPI1952496663
33bProvider type—
28Total paid$449K
24GClaims89,045
24DCodes billed38
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 | 15,160 | $128K | |
| 2019 | 19,972 | $158K | |
| 2020 | 13,170 | $59K | |
| 2021 | 13,325 | $40K | |
| 2022 | 13,078 | $30K | |
| 2023 | 11,451 | $27K | |
| 2024incomplete | 2,889 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 15% | 2,955 | 2,935 | $69K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 3,297 | 3,263 | $67K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,261 | 2,230 | $56K |
| 92552 | 6.6% | 9,442 | 9,417 | $30K | |
| 99381 | 6.5% | 423 | 405 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 12,886 | 11,683 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 436 | 421 | $22K |
| 99383 | 4.2% | 397 | 381 | $19K | |
| 99384 | 2.5% | 206 | 191 | $11K | |
| 86580 | 2.4% | 6,251 | 6,234 | $11K | |
| 83050 | 2.3% | 8,640 | 8,589 | $10K | |
| 90670 | 1.7% | 1,600 | 1,568 | $8K |
26 more codes
| 90648 | 1.6% | 1,600 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 1,116 | $7K |
| 90686 | 1.5% | 1,710 | $7K | |
| 99382 | 1.5% | 131 | $7K | |
| 81000 | 1.5% | 7,329 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 4,744 | $6K |
| 90734 | 1.3% | 1,468 | $6K | |
| 90649 | 1.2% | 1,562 | $5K | |
| 90723 | 1.1% | 1,223 | $5K | |
| 83026 | 1.1% | 2,615 | $5K | |
| 90715 | <1% | 779 | $4K | |
| 90707 | <1% | 1,038 | $4K | |
| 90633 | <1% | 983 | $4K | |
| 90620 | <1% | 864 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 301 | $3K |
| 81003 | <1% | 1,975 | $3K | |
| 90716 | <1% | 1,106 | $3K | |
| 90680 | <1% | 712 | $3K | |
| 99173 | <1% | 1,178 | $2K | |
| 90696 | <1% | 291 | $2K | |
| 83655 | <1% | 340 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 132 | $1K |
| 92081 | <1% | 6,851 | $308.82 | |
| 90700 | <1% | 104 | $306.00 | |
| 90658 | <1% | 69 | $135.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 30 | $1.98 |
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.