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NPI 1033254255
NPI deactivated
1033254255
1033254255 was paid $718K by Medicaid between Jan 2018 and Apr 2024, across 9 billing codes. Its largest line is 11721, — 69% of everything it billed.
33Billing provider info1033254255
33aNPI1033254255
33bProvider type—
28Total paid$718K
24GClaims62,504
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2024
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 | 6,207 | $85K | |
| 2019 | 11,613 | $160K | |
| 2020 | 8,701 | $99K | |
| 2021 | 10,705 | $127K | |
| 2022 | 12,476 | $132K | |
| 2023 | 12,732 | $115K | |
| 2024incomplete | 70 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11721 | 69% | 43,381 | 43,074 | $496K | |
| 99304 | 20% | 7,753 | 7,699 | $142K | |
| 99307 | 3.9% | 4,923 | 4,907 | $28K | |
| 11720 | 3.4% | 3,598 | 3,575 | $24K | |
| 11056 | 2.0% | 1,521 | 1,518 | $14K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.7% | 999 | 994 | $12K |
| 11055 | <1% | 290 | 289 | $978.02 | |
| 11730 | <1% | 24 | 24 | $458.70 | |
| 10060 | <1% | 15 | 14 | $288.14 |
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.