Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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

$0$100K$200K2018201920202021202220232024
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
201817,563$684K
20197,884$255K
20206,415$201K
20216,288$227K
20226,612$281K
2023173$3K
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 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.