1043627193

1043627193 was paid $170K by Medicaid between Jan 2018 and Dec 2021, across 16 billing codes. Its largest line is A6196, Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing — 36% of everything it billed.

33Billing provider info1043627193

33aNPI1043627193

33bProvider type—

28Total paid$170K

24GClaims4,215

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 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
2018	279	$11K
2019	693	$30K
2020	834	$37K
2021	2,409	$91K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	36%	477	462	$61K
A6449	Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard	28%	354	346	$48K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	9.1%	231	216	$15K
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	8.0%	90	88	$14K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	4.2%	1,256	1,200	$7K
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	2.7%	245	239	$5K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	2.7%	25	24	$5K
A6252	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	2.2%	59	57	$4K
A4452	Tape, waterproof, per 18 square inches	2.0%	457	413	$3K
A4450	Tape, non-waterproof, per 18 square inches	1.6%	681	561	$3K
A6251	Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	1.1%	75	74	$2K
A6222	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	1.0%	77	72	$2K

4 more codes

A6209	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	32	$1K
A4927	Gloves, non-sterile, per 100	<1%	60	$701.90
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	<1%	49	$316.01
A6457	Tubular dressing with or without elastic, any width, per linear yard	<1%	47	$117.98

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.