Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1962688325

1962688325 was paid $941K by Medicaid between Jan 2018 and Jun 2020, across 36 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 22% of everything it billed.

33Billing provider info1962688325
33aNPI1962688325
33bProvider type—
28Total paid$941K
24GClaims26,093
24DCodes billed36
24AFirst – last monthJan 2018 – Jun 2020
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
201814,011$495K
20199,047$331K
20203,035$115K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H1001 Prenatal care, at-risk enhanced service; antepartum management 22% 2,819 1,849 $204K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 14% 231 230 $134K
Z1034 9.1% 1,561 1,007 $85K
J3490 Unclassified drugs 6.5% 544 484 $61K
76801 5.1% 580 563 $48K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 412 341 $44K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3.7% 3,491 2,355 $35K
H2000 Comprehensive multidisciplinary evaluation 3.5% 203 198 $33K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.4% 655 580 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.9% 276 274 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 438 406 $22K
97803 2.3% 1,610 1,402 $22K
24 more codes
99401 2.3% 1,481 $21K
96151 2.2% 1,673 $21K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.8% 311 $17K
H1000 Prenatal care, at-risk assessment 1.7% 106 $16K
H1003 Prenatal care, at-risk enhanced service; education 1.7% 838 $16K
Z6410 1.6% 1,976 $15K
59430 1.2% 157 $11K
Z6304 1.1% 1,270 $10K
59025 Fetal non-stress test <1% 352 $8K
Z6400 <1% 524 $8K
Z1032 <1% 44 $7K
Z6406 <1% 739 $7K
Z6500 <1% 58 $7K
90715 <1% 197 $7K
Z6204 <1% 671 $6K
81025 <1% 1,241 $4K
90656 <1% 135 $3K
85018 <1% 921 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 $1K
82947 <1% 319 $1K
96152 <1% 59 $904.96
Z6308 <1% 97 $775.18
Z6208 <1% 53 $578.36
Z6414 <1% 39 $367.14

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.