1972615730

1972615730 was paid $118K by Medicaid between Oct 2019 and Jun 2022, across 13 billing codes. Its largest line is 96156, — 69% of everything it billed.

33Billing provider info1972615730

33aNPI1972615730

33bProvider type—

28Total paid$118K

24GClaims4,283

24DCodes billed13

24AFirst – last monthOct 2019 – Jun 2022

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
2019	324	$4K
2020	1,613	$44K
2021	1,544	$48K
2022	802	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96156		69%	800	776	$81K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	702	626	$22K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.8%	1,294	730	$5K
92551		2.3%	203	196	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.2%	117	116	$3K
90670		1.0%	135	135	$1K
85018		<1%	573	547	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	42	39	$991.59
90698		<1%	78	78	$702.00
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	25	25	$626.99
81000		<1%	227	219	$583.17
92499		<1%	71	64	$160.02

1 more codes

90688

<1%

$144.00

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.