1013903749

1013903749 was paid $379K by Medicaid between Jan 2018 and Jan 2020, across 10 billing codes. Its largest line is A4223, Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) — 50% of everything it billed.

33Billing provider info1013903749

33aNPI1013903749

33bProvider type—

28Total paid$379K

24GClaims9,499

24DCodes billed10

24AFirst – last monthJan 2018 – Jan 2020

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	4,745	$227K
2019	4,723	$152K
2020	31	$411.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	50%	2,655	704	$189K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	20%	302	109	$77K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	17%	3,599	1,416	$64K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	3.9%	99	24	$15K
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	3.7%	960	462	$14K
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	2.5%	1,592	723	$10K
B4224	Parenteral nutrition administration kit, per day	2.0%	103	24	$7K
B4220	Parenteral nutrition supply kit; premix, per day	<1%	103	24	$2K
E0781	Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient	<1%	39	13	$1K
J7030	Infusion, normal saline solution , 1000 cc	<1%	47	24	$671.58

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.