1053901256

1053901256 was paid $7.92M by Medicaid between Mar 2022 and Feb 2023, across 2 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 100% of everything it billed.

33Billing provider info1053901256

33aNPI1053901256

33bProvider type—

28Total paid$7.92M

24GClaims127,149

24DCodes billed2

24AFirst – last monthMar 2022 – Feb 2023

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code 87426 with only 2 total codes billed. Highly concentrated billing profile.

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
2022	70,715	$5.38M
2023	56,434	$2.55M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	100%	127,098	54,770	$7.92M
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	<1%	51	51	$566.40

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.