1114370996

1114370996 was paid $977K by Medicaid between Jan 2018 and Mar 2019, across 5 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 41% of everything it billed.

33Billing provider info1114370996

33aNPI1114370996

33bProvider type—

28Total paid$977K

24GClaims7,807

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2019

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	7,664	$968K
2019	143	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	41%	6,177	1,802	$399K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	31%	303	273	$305K
G9009	Coordinated care fee, risk adjusted maintenance, level 3	22%	636	592	$220K
G9005	Coordinated care fee, risk adjusted maintenance	3.8%	81	72	$37K
T1027	Family training and counseling for child development, per 15 minutes	1.8%	610	171	$17K

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.