1124442306

1124442306 was paid $586.08 by Medicaid between Jan 2018 and Jun 2018, across 14 billing codes. Its largest line is 81355, — 54% of everything it billed.

33Billing provider info1124442306

33aNPI1124442306

33bProvider type—

28Total paid$586.08

24GClaims1,362

24DCodes billed14

24AFirst – last monthJan 2018 – Jun 2018

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	1,362	$586.08

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
81355	54%	139	86	$316.52
81227	24%	108	82	$141.71
81241	11%	84	59	$62.08
81240	8.5%	84	59	$50.00
81402	2.7%	92	67	$15.77
81400	0%	89	65	$0.00
81225	0%	84	59	$0.00
81226	0%	84	59	$0.00
81401	0%	90	65	$0.00
81406	0%	125	70	$0.00
81408	0%	89	64	$0.00
81291	0%	84	59	$0.00

2 more codes

81405		0%	121	$0.00
81404		0%	89	$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.