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NPI 1144523465
NPI deactivated
1144523465
1144523465 was paid $83K by Medicaid between Sep 2018 and Nov 2023, across 14 billing codes. Its largest line is 0002A, — 31% of everything it billed.
33Billing provider info1144523465
33aNPI1144523465
33bProvider type—
28Total paid$83K
24GClaims2,801
24DCodes billed14
24AFirst – last monthSep 2018 – Nov 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 | 51 | $628.03 | |
| 2019 | 14 | $0.00 | |
| 2020 | 93 | $620.26 | |
| 2021 | 1,838 | $57K | |
| 2022 | 640 | $20K | |
| 2023 | 165 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0002A | 31% | 695 | 695 | $25K | |
| 0001A | 25% | 666 | 666 | $21K | |
| 0054A | 7.3% | 153 | 153 | $6K | |
| 0004A | 5.8% | 150 | 150 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.7% | 432 | 416 | $5K |
| 0071A | 5.5% | 109 | 109 | $5K | |
| 0072A | 5.0% | 102 | 102 | $4K | |
| 0124A | 4.8% | 98 | 98 | $4K | |
| 90686 | 3.9% | 225 | 220 | $3K | |
| 91320 | 2.6% | 21 | 20 | $2K | |
| 90674 | 2.1% | 70 | 69 | $2K | |
| 90480 | <1% | 21 | 20 | $786.24 |
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.