1154967487

1154967487 was paid $1.38M by Medicaid between Jul 2020 and Jul 2021, across 2 billing codes. Its largest line is H0047, Alcohol and/or other drug abuse services, not otherwise specified — 96% of everything it billed.

33Billing provider info1154967487

33aNPI1154967487

33bProvider type—

28Total paid$1.38M

24GClaims3,752

24DCodes billed2

24AFirst – last monthJul 2020 – Jul 2021

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration96% of spending on code H0047 with only 2 total codes billed. Highly concentrated billing profile.

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
2020	1,418	$645K
2021	2,334	$737K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0047	Alcohol and/or other drug abuse services, not otherwise specified	96%	2,978	159	$1.33M
H0023	Behavioral health outreach service (planned approach to reach a targeted population)	4.1%	774	97	$57K

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.