Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NPI 1972586089
NPI deactivated

1972586089

1972586089 was paid $607K by Medicaid between Jan 2018 and Jan 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider info1972586089
33aNPI1972586089
33bProvider type—
28Total paid$607K
24GClaims12,202
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2024
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
20182,623$111K
20192,727$117K
20202,047$79K
20211,749$98K
20221,428$88K
20231,564$110K
2024incomplete64$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 3,576 3,177 $234K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 1,151 1,122 $81K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 8.8% 626 609 $53K
99386 8.5% 562 557 $51K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6.6% 1,711 1,689 $40K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6.5% 1,715 1,696 $39K
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 6.1% 359 344 $37K
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 3.0% 150 146 $18K
87110 2.5% 1,202 1,187 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.3% 616 614 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.6% 146 138 $10K
99385 1.6% 121 120 $10K
3 more codes
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 202 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 16 $70.92
87621 0% 49 $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.