Home ›
NPI 100107990A
100107990A
100107990A was paid $0.00 by Medicaid between Jan 2018 and Jul 2023, across 4 billing codes. Its largest line is T2022, Case management, per month — 0% of everything it billed.
33Billing provider info100107990A
33aNPI100107990A
33bProvider type—
28Total paid$0.00
24GClaims19,500
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 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 | 1,302 | $0.00 | |
| 2019 | 13,745 | $0.00 | |
| 2020 | 3,053 | $0.00 | |
| 2021 | 800 | $0.00 | |
| 2022 | 398 | $0.00 | |
| 2023 | 202 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2022 | Case management, per month | 0% | 18,886 | 16,627 | $0.00 |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 0% | 351 | 276 | $0.00 |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 0% | 195 | 122 | $0.00 |
| T2038 | Community transition, waiver; per service | 0% | 68 | 30 | $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.