1003842675

1003842675 was paid $34K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 30% of everything it billed.

33Billing provider info1003842675

33aNPI1003842675

33bProvider type—

28Total paid$34K

24GClaims627

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2018

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	627	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	30%	105	104	$10K
99205	Prolong outpt/office vis	29%	200	200	$10K
37252		21%	14	12	$7K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	17%	198	188	$6K
11900		2.5%	110	104	$851.51

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.