1104938992

1104938992 was paid $32K by Medicaid between Jan 2018 and Jun 2023, across 6 billing codes. Its largest line is J7620, Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme — 62% of everything it billed.

33Billing provider info1104938992

33aNPI1104938992

33bProvider type—

28Total paid$32K

24GClaims6,828

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 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	2,030	$9K
2019	1,498	$6K
2020	1,379	$8K
2021	969	$6K
2022	723	$3K
2023	229	$396.90

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	62%	1,078	996	$20K
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	34%	697	658	$11K
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	2.0%	2,354	2,110	$648.12
A7015	Aerosol mask, used with dme nebulizer	<1%	1,278	1,091	$281.88
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	794	735	$218.09
A7004	Small volume nonfiltered pneumatic nebulizer, disposable	<1%	627	588	$74.23

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.