1003315011

1003315011 was paid $487K by Medicaid between Jan 2020 and Nov 2023, across 3 billing codes. Its largest line is J2315, Injection, naltrexone, depot form, 1 mg — 100% of everything it billed.

33Billing provider info1003315011

33aNPI1003315011

33bProvider type—

28Total paid$487K

24GClaims509

24DCodes billed3

24AFirst – last monthJan 2020 – Nov 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
2020	36	$345.09
2021	42	$16K
2022	163	$151K
2023	268	$320K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J2315	Injection, naltrexone, depot form, 1 mg	100%	380	324	$485K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	<1%	113	98	$2K
M0244	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency	<1%	16	16	$677.30

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.