1043723976

1043723976 was paid $19K by Medicaid between Feb 2019 and Jul 2019, across 1 billing code. Its largest line is G9149, National committee for quality assurance - level 2 medical home — 100% of everything it billed.

33Billing provider info1043723976

33aNPI1043723976

33bProvider type—

28Total paid$19K

24GClaims85

24DCodes billed1

24AFirst – last monthFeb 2019 – Jul 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	85	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9149	National committee for quality assurance - level 2 medical home	100%	85	85	$19K

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.