1003811050

1003811050 was paid $20K by Medicaid between Jan 2018 and Nov 2023, across 2 billing codes. Its largest line is 11765, — 85% of everything it billed.

33Billing provider info1003811050

33aNPI1003811050

33bProvider type—

28Total paid$20K

24GClaims1,978

24DCodes billed2

24AFirst – last monthJan 2018 – 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
2018	407	$4K
2019	669	$6K
2020	559	$5K
2021	13	$0.00
2022	133	$4K
2023	197	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11765		85%	1,291	650	$17K
11721		15%	687	680	$3K

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.