1982641734

1982641734 was paid $213K by Medicaid between Jan 2018 and Feb 2018, across 27 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 45% of everything it billed.

33Billing provider info1982641734

33aNPI1982641734

33bProvider type—

28Total paid$213K

24GClaims4,962

24DCodes billed27

24AFirst – last monthJan 2018 – Feb 2018

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	4,962	$213K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	45%	1,315	622	$97K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	17%	264	165	$36K
Z1034		8.5%	331	212	$18K
Z1032		5.8%	78	78	$12K
Z6500		4.9%	85	85	$11K
J3490	Unclassified drugs	4.9%	118	59	$10K
A4267	Contraceptive supply, condom, male, each	2.5%	473	472	$5K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	1.8%	69	69	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	112	98	$3K
Z6400		1.2%	238	192	$3K
99381		1.2%	55	55	$2K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	163	163	$2K

15 more codes

81025		<1%	662	$2K
Z6204		<1%	147	$2K
Z6406		<1%	150	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	38	$1K
Z6410		<1%	71	$633.62
Z6304		<1%	69	$551.11
90700		<1%	46	$405.02
90670		<1%	46	$369.00
90713		<1%	42	$369.00
90680		<1%	38	$342.00
90743		<1%	31	$279.00
90647		<1%	36	$270.00
S0197	Prenatal vitamins, 30-day supply	<1%	173	$234.53
81002		<1%	98	$186.25
Z6414		<1%	14	$174.11

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.