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NPI 1114108982
NPI deactivated
1114108982
1114108982 was paid $6.53M by Medicaid between Jan 2018 and Jun 2019, across 3 billing codes. Its largest line is Z9560, — 90% of everything it billed.
33Billing provider info1114108982
33aNPI1114108982
33bProvider type—
28Total paid$6.53M
24GClaims11,967
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2019
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration90% of spending on code Z9560 with only 3 total codes billed. Highly concentrated billing profile.
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 | 8,504 | $4.45M | |
| 2019 | 3,463 | $2.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Z9560 | 90% | 10,836 | 7,860 | $5.90M | |
| Z9558 | 5.1% | 602 | 558 | $332K | |
| Z9557 | 4.5% | 529 | 490 | $297K |
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.