Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NPI 1033130679
NPI deactivated

1033130679

1033130679 was paid $405K by Medicaid between Jan 2018 and Jul 2023, across 3 billing codes. Its largest line is 97799, — 52% of everything it billed.

33Billing provider info1033130679
33aNPI1033130679
33bProvider type—
28Total paid$405K
24GClaims19,266
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2023
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20184,874$104K
20194,462$96K
20202,338$45K
20212,847$59K
20224,579$97K
2023166$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97799 52% 9,915 1,406 $210K
97010 41% 8,564 1,495 $165K
97165 7.3% 787 382 $30K

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.