1114132370

1114132370 was paid $84K by Medicaid between Mar 2018 and Nov 2021, across 4 billing codes. Its largest line is 01930, — 83% of everything it billed.

33Billing provider info1114132370

33aNPI1114132370

33bProvider type—

28Total paid$84K

24GClaims1,590

24DCodes billed4

24AFirst – last monthMar 2018 – Nov 2021

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	207	$18K
2019	460	$27K
2020	566	$25K
2021	357	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
01930		83%	817	621	$70K
01916		16%	198	137	$13K
01844		<1%	83	80	$479.50
J2704	Injection, propofol, 10 mg	<1%	492	372	$198.01

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.