1164423935

1164423935 was paid $44K by Medicaid between Jan 2018 and Oct 2019, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 61% of everything it billed.

33Billing provider info1164423935

33aNPI1164423935

33bProvider type—

28Total paid$44K

24GClaims640

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2019

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	614	$44K
2019	26	$243.93

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	61%	247	239	$27K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	18%	202	142	$8K
99238	Hospital discharge day management, 30 minutes or less	13%	134	131	$6K
54160		5.2%	17	17	$2K
99460		2.7%	14	12	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	14	$185.08
90686		<1%	12	12	$58.85

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.