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NPI 1003815069
NPI deactivated
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
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 | 3,591 | $49K | |
| 2019 | 3,959 | $63K | |
| 2020 | 4,217 | $100K | |
| 2021 | 761 | $27K | |
| 2022 | 2,928 | $97K | |
| 2023 | 2,590 | $93K | |
| 2024incomplete | 1,748 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.