1023466158

1023466158 was paid $38K by Medicaid between Mar 2021 and Mar 2021, across 2 billing codes. Its largest line is 95715, — 86% of everything it billed.

33Billing provider info1023466158

33aNPI1023466158

33bProvider type—

28Total paid$38K

24GClaims71

24DCodes billed2

24AFirst – last monthMar 2021 – Mar 2021

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
2021	71	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95715		86%	51	13	$32K
95700		14%	20	12	$5K

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.