1124192950

1124192950 was paid $70.09M by Medicaid between Jan 2018 and Dec 2020, across 5 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 89% of everything it billed.

33Billing provider info1124192950

33aNPI1124192950

33bProvider type—

28Total paid$70.09M

24GClaims298,479

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 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	129,643	$24.61M
2019	108,613	$23.13M
2020	60,223	$22.36M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2016	A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem	89%	196,437	6,682	$62.30M
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	6.0%	51,957	2,992	$4.22M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3.9%	33,319	1,773	$2.76M
T2017	Habilitation, residential, waiver; 15 minutes	<1%	6,194	261	$455K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	<1%	10,572	624	$352K

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.