1104891001

1104891001 was paid $2.37M by Medicaid between Mar 2018 and Apr 2024, across 8 billing codes. Its largest line is 95144, — 41% of everything it billed.

33Billing provider info1104891001

33aNPI1104891001

33bProvider type—

28Total paid$2.37M

24GClaims36,242

24DCodes billed8

24AFirst – last monthMar 2018 – Apr 2024

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	180	$5K
2019	464	$17K
2020	1,526	$84K
2021	1,009	$175K
2022	14,770	$956K
2023	17,214	$1.04M
2024incomplete	1,079	$94K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95144		41%	2,748	514	$973K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	12,730	9,345	$569K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	21%	9,907	7,195	$494K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	9.0%	9,106	6,584	$212K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	2.2%	510	390	$51K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	2.0%	551	516	$48K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	654	517	$21K
99349		<1%	36	36	$88.80

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.