1023112992

1023112992 was paid $4.68M by Medicaid between Jan 2018 and Jan 2023, across 42 billing codes. Its largest line is 90935, Hemodialysis procedure with single evaluation by a physician — 82% of everything it billed.

33Billing provider info1023112992

33aNPI1023112992

33bProvider type—

28Total paid$4.68M

24GClaims166,378

24DCodes billed42

24AFirst – last monthJan 2018 – Jan 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	14,584	$1.03M
2019	14,974	$878K
2020	25,329	$999K
2021	29,852	$880K
2022	75,175	$852K
2023	6,464	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90935	Hemodialysis procedure with single evaluation by a physician	82%	24,641	2,199	$3.85M
90999	Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient	5.8%	19,177	1,340	$269K
A4657	Syringe, with or without needle, each	2.7%	23,171	1,996	$125K
85018		1.5%	9,252	2,316	$70K
84520		<1%	4,850	2,288	$43K
J1756	Injection, iron sucrose, 1 mg	<1%	9,192	1,480	$34K
83970		<1%	3,044	2,259	$24K
84155		<1%	2,495	1,918	$23K
83540		<1%	2,995	2,245	$23K
82310		<1%	2,474	1,022	$23K
84460		<1%	2,775	2,111	$21K
82728		<1%	2,417	1,793	$20K

30 more codes

84075		<1%	2,003	$19K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,377	$19K
84450		<1%	539	$17K
80069		<1%	1,736	$16K
84100		<1%	1,625	$15K
87340		<1%	1,768	$15K
84466		<1%	869	$14K
83550		<1%	2,044	$6K
82108		<1%	447	$6K
83735		<1%	709	$5K
86706		<1%	443	$5K
82040		<1%	1,443	$5K
J3490	Unclassified drugs	<1%	821	$4K
82565		<1%	978	$4K
80051		<1%	841	$3K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	<1%	2,353	$2K
86704		<1%	71	$2K
86803		<1%	187	$514.32
OP250		<1%	30,409	$93.35
82746		<1%	138	$5.28
90688		<1%	12	$2.06
G0008	Administration of influenza virus vaccine	<1%	132	$1.25
J1644	Injection, heparin sodium, per 1000 units	0%	7,439	$0.00
85014		0%	84	$0.00
85046		0%	38	$0.00
A6216	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	0%	155	$0.00
0002A		0%	14	$0.00
84132		0%	82	$0.00
90686		0%	76	$0.00
83036	Hemoglobin; glycosylated (A1C)	0%	62	$0.00

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.