1073931689

1073931689 was paid $47K by Medicaid between Sep 2018 and Jun 2022, across 5 billing codes. Its largest line is A4222, Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) — 72% of everything it billed.

33Billing provider info1073931689

33aNPI1073931689

33bProvider type—

28Total paid$47K

24GClaims1,892

24DCodes billed5

24AFirst – last monthSep 2018 – Jun 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
2018	24	$3K
2019	103	$3K
2020	777	$16K
2021	779	$18K
2022	209	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	72%	723	379	$34K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	17%	257	131	$8K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	6.8%	24	14	$3K
99601		3.3%	761	404	$2K
99602	Nursing care in home rn	1.3%	127	94	$620.00

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.