1104136548

1104136548 was paid $945K by Medicaid between Jun 2018 and Nov 2023, across 5 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 47% of everything it billed.

33Billing provider info1104136548

33aNPI1104136548

33bProvider type—

28Total paid$945K

24GClaims12,602

24DCodes billed5

24AFirst – last monthJun 2018 – Nov 2023

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	185	$5K
2019	686	$30K
2020	2,451	$166K
2021	3,889	$397K
2022	3,916	$297K
2023	1,475	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	47%	3,716	1,653	$445K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	33%	5,587	2,207	$313K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	13%	2,447	1,129	$127K
G0300	Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes	6.4%	783	362	$61K
G0154	Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes	0%	69	28	$0.00

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.