1053486795

1053486795 was paid $28K by Medicaid between Aug 2020 and Jan 2022, across 1 billing code. Its largest line is G2024, Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source — 100% of everything it billed.

33Billing provider info1053486795

33aNPI1053486795

33bProvider type—

28Total paid$28K

24GClaims1,352

24DCodes billed1

24AFirst – last monthAug 2020 – Jan 2022

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
2020	678	$14K
2021	660	$14K
2022	14	$314.64

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G2024	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source	100%	1,352	631	$28K

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.