1114070794

1114070794 was paid $114K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 96118, — 49% of everything it billed.

33Billing provider info1114070794

33aNPI1114070794

33bProvider type—

28Total paid$114K

24GClaims672

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2020

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	255	$58K
2019	390	$53K
2020	27	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96118		49%	242	141	$56K
96132		32%	312	185	$37K
96133		15%	91	50	$17K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.9%	27	26	$3K

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.