Santos, Maria Edna

Santos, Maria Edna was paid $1K by Medicaid between Apr 2021 and Jun 2021, across 3 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 50% of everything it billed.

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
2021	62	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90472	Immunization administration, each additional vaccine (list separately)	50%	14	14	$638.94
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	36%	30	30	$464.70
86580		14%	18	17	$174.96

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.