Lebron Ayala, Adria

Lebron Ayala, Adria was paid $9K by Medicaid between Aug 2024 and Oct 2024, across 4 billing codes. Its largest line is 99236, Prolong inpt eval add15 m — 65% of everything it billed.

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
2024incomplete	167	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99236	Prolong inpt eval add15 m	65%	32	17	$6K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	20%	42	37	$2K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	7.9%	67	53	$729.81
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	6.6%	26	15	$603.46

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.