1073536090

1073536090 was paid $1.72M by Medicaid between Jan 2018 and Aug 2021, across 42 billing codes. Its largest line is 11721, — 27% of everything it billed.

33Billing provider info1073536090

33aNPI1073536090

33bProvider type—

28Total paid$1.72M

24GClaims145,947

24DCodes billed42

24AFirst – last monthJan 2018 – Aug 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	48,564	$465K
2019	43,288	$535K
2020	25,032	$337K
2021	29,063	$382K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11721		27%	50,137	46,222	$470K
92015	Determination of refractive state	16%	17,255	15,895	$281K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	11,086	10,212	$234K
92341		9.6%	8,427	7,423	$166K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.3%	5,003	4,755	$108K
92250		4.9%	7,270	6,606	$85K
92285		3.6%	10,893	9,930	$61K
11720		2.9%	8,203	7,536	$50K
65210		2.8%	2,558	2,385	$48K
92557		2.3%	6,509	6,023	$40K
92225		1.7%	3,609	3,144	$29K
67820		1.6%	1,738	1,560	$27K

30 more codes

92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	898	$14K
99307		<1%	2,254	$13K
99304		<1%	764	$11K
11055		<1%	1,346	$10K
V2020	Frames, purchases	<1%	600	$10K
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	575	$9K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	431	$7K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	<1%	447	$7K
11730		<1%	547	$7K
92226		<1%	447	$4K
11056		<1%	362	$4K
V5160	Dispensing fee, binaural	<1%	12	$3K
92567		<1%	1,161	$3K
97597		<1%	328	$3K
99308	Subsequent nursing facility care, per day, straightforward	<1%	419	$2K
11732		<1%	451	$2K
92202		<1%	474	$2K
11719		<1%	721	$2K
92060		<1%	266	$1K
92201		<1%	125	$905.11
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	146	$875.44
V5266	Battery for use in hearing device	<1%	174	$745.69
68840		<1%	52	$709.32
65205		<1%	46	$426.00
92553		<1%	98	$263.19
G0127	Trimming of dystrophic nails, any number	<1%	61	$248.98
99342		<1%	12	$182.80
68040		<1%	15	$116.88
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	14	$89.32
92555		<1%	13	$27.71

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.