1114190816

1114190816 was paid $5.90M by Medicaid between Jan 2018 and Aug 2023, across 7 billing codes. Its largest line is 0650, Inj, levothyroxine, hikma — 80% of everything it billed.

33Billing provider info1114190816

33aNPI1114190816

33bProvider type—

28Total paid$5.90M

24GClaims2,001

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 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	175	$638K
2019	127	$640K
2020	406	$1.75M
2021	841	$1.25M
2022	306	$1.01M
2023	146	$614K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0650	Inj, levothyroxine, hikma	80%	1,109	997	$4.71M
0659	Rehabilitation services, other	15%	161	147	$890K
0651		3.6%	80	69	$213K
0658		1.4%	14	13	$81K
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	0%	474	143	$0.00
G0300	Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes	0%	74	24	$0.00
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	0%	89	13	$0.00

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.