Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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

$0$10K$20K2018201920202021202220232024
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
20186,207$85K
201911,613$160K
20208,701$99K
202110,705$127K
202212,476$132K
202312,732$115K
2024incomplete70$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.