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NPI 1972662039
NPI deactivated
1972662039
1972662039 was paid $1.65M by Medicaid between Jan 2018 and Jan 2023, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider info1972662039
33aNPI1972662039
33bProvider type—
28Total paid$1.65M
24GClaims44,935
24DCodes billed28
24AFirst – last monthJan 2018 – Jan 2023
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 | 17,563 | $684K | |
| 2019 | 7,884 | $255K | |
| 2020 | 6,415 | $201K | |
| 2021 | 6,288 | $227K | |
| 2022 | 6,612 | $281K | |
| 2023 | 173 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,414 | 2,132 | $265K |
| 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 | 16% | 1,527 | 1,343 | $258K |
| J3490 | Unclassified drugs | 12% | 5,464 | 4,507 | $195K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 12% | 3,443 | 2,929 | $191K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 2,064 | 1,955 | $171K |
| 87806 | 9.5% | 6,183 | 4,710 | $157K | |
| S4993 | Contraceptive pills for birth control | 8.5% | 1,248 | 1,239 | $140K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.8% | 394 | 363 | $63K |
| 99201 | 3.1% | 439 | 438 | $51K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 148 | 146 | $38K |
| A4267 | Contraceptive supply, condom, male, each | 1.5% | 3,518 | 3,510 | $26K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,212 | 1,212 | $15K |
16 more codes
| 81025 | <1% | 5,099 | $15K | |
| S0199 | Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs | <1% | 25 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 39 | $11K |
| S5000 | Prescription drug, generic | <1% | 1,536 | $9K |
| 99000 | <1% | 2,425 | $9K | |
| 83986 | <1% | 2,397 | $7K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 1,065 | $4K |
| S5199 | Personal care item, nos, each | <1% | 3,686 | $4K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 29 | $2K |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 26 | $2K |
| S0190 | Mifepristone, oral, 200 mg | <1% | 25 | $2K |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 191 | $1K |
| 82120 | <1% | 110 | $435.80 | |
| 87210 | <1% | 77 | $286.36 | |
| 81002 | <1% | 114 | $226.54 | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 37 | $113.75 |
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.