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NPI 1982938213
NPI deactivated
1982938213
1982938213 was paid $1.92M by Medicaid between Jan 2018 and Dec 2019, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider info1982938213
33aNPI1982938213
33bProvider type—
28Total paid$1.92M
24GClaims35,465
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2019
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 | 15,734 | $1.10M | |
| 2019 | 19,731 | $816K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 15,719 | 13,779 | $1.89M |
| 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% | 8,178 | 6,802 | $9K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 94 | 90 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 339 | 241 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 326 | 236 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 220 | 174 | $1K |
| 90670 | <1% | 45 | 38 | $1K | |
| 92552 | <1% | 756 | 536 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 85 | 85 | $916.83 |
| 90734 | <1% | 101 | 71 | $760.86 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 787 | 647 | $702.35 |
| 90651 | <1% | 90 | 71 | $516.60 |
26 more codes
| 96150 | <1% | 343 | $499.80 | |
| 90710 | <1% | 18 | $405.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 29 | $404.40 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 350 | $375.84 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,795 | $369.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 220 | $368.63 |
| 99000 | <1% | 2,220 | $341.05 | |
| 90686 | <1% | 344 | $279.12 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 47 | $212.73 |
| 96127 | <1% | 405 | $147.56 | |
| 90715 | <1% | 37 | $108.45 | |
| 90696 | <1% | 18 | $106.72 | |
| 90633 | <1% | 37 | $72.25 | |
| 85018 | <1% | 630 | $34.85 | |
| 82948 | <1% | 181 | $16.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 203 | $0.00 |
| 90688 | 0% | 60 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 1038F | 0% | 13 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 38 | $0.00 |
| 90461 | 0% | 221 | $0.00 | |
| 99173 | 0% | 913 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 533 | $0.00 |
| 81025 | 0% | 30 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 14 | $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.