1104331651

1104331651 was paid $152K by Medicaid between Aug 2018 and Nov 2019, across 1 billing code. Its largest line is H2013, Psychiatric health facility service, per diem — 100% of everything it billed.

33Billing provider info1104331651

33aNPI1104331651

33bProvider type—

28Total paid$152K

24GClaims242

24DCodes billed1

24AFirst – last monthAug 2018 – Nov 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	46	$28K
2019	196	$124K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2013	Psychiatric health facility service, per diem	100%	242	225	$152K

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.