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NPI 1134668551
NPI deactivated
1134668551
1134668551 was paid $57K by Medicaid between Jan 2018 and Sep 2018, across 3 billing codes. Its largest line is G9149, National committee for quality assurance - level 2 medical home — 62% of everything it billed.
33Billing provider info1134668551
33aNPI1134668551
33bProvider type—
28Total paid$57K
24GClaims452
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 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 | 452 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9149 | National committee for quality assurance - level 2 medical home | 62% | 213 | 213 | $35K |
| G9150 | National committee for quality assurance - level 3 medical home | 25% | 206 | 206 | $14K |
| G9148 | National committee for quality assurance - level 1 medical home | 14% | 33 | 33 | $8K |
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.