1083773444

1083773444 was paid $1.49M by Medicaid between Jan 2018 and Jul 2019, across 3 billing codes. Its largest line is J1726, Injection, hydroxyprogesterone caproate, (makena), 10 mg — 83% of everything it billed.

33Billing provider info1083773444

33aNPI1083773444

33bProvider type—

28Total paid$1.49M

24GClaims604

24DCodes billed3

24AFirst – last monthJan 2018 – 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
2018	399	$1.06M
2019	205	$428K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	83%	435	390	$1.24M
J2357	Injection, omalizumab, 5 mg	12%	129	98	$174K
J0585	Injection, onabotulinumtoxina, 1 unit	5.0%	40	37	$74K

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.