1043486087

1043486087 was paid $5K by Medicaid between Jun 2019 and Oct 2019, across 2 billing codes. Its largest line is 99408, — 63% of everything it billed.

33Billing provider info1043486087

33aNPI1043486087

33bProvider type—

28Total paid$5K

24GClaims157

24DCodes billed2

24AFirst – last monthJun 2019 – Oct 2019

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
2019	157	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99408		63%	120	101	$3K
99409		37%	37	32	$2K

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.