Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1003815069

1003815069 was paid $504K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 93% of everything it billed.

33Billing provider info1003815069
33aNPI1003815069
33bProvider type—
28Total paid$504K
24GClaims19,794
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20183,591$49K
20193,959$63K
20204,217$100K
2021761$27K
20222,928$97K
20232,590$93K
2024incomplete1,748$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 93% 16,555 12,829 $469K
99308 Subsequent nursing facility care, per day, straightforward 2.5% 1,787 1,515 $13K
99305 1.5% 232 208 $8K
99424 1.4% 460 460 $7K
99318 <1% 66 52 $2K
99307 <1% 72 72 $1K
99490 Ccm add 20min <1% 229 229 $1K
99315 <1% 56 52 $1K
99358 Prolong nursin fac eval 15m <1% 337 335 $619.08

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.