1164553863

1164553863 was paid $1.72M by Medicaid between Jan 2018 and Apr 2021, across 16 billing codes. Its largest line is A6266, Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard — 25% of everything it billed.

33Billing provider info1164553863

33aNPI1164553863

33bProvider type—

28Total paid$1.72M

24GClaims15,617

24DCodes billed16

24AFirst – last monthJan 2018 – Apr 2021

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	3,431	$329K
2019	4,185	$489K
2020	6,036	$674K
2021	1,965	$232K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A6266	Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard	25%	1,859	1,771	$436K
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	22%	1,213	1,120	$384K
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	14%	1,576	1,460	$233K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	13%	664	619	$223K
A6252	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	8.0%	1,852	1,712	$138K
A6222	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	7.7%	1,798	1,669	$133K
A4452	Tape, waterproof, per 18 square inches	3.9%	2,922	2,710	$67K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	2.1%	182	171	$36K
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	1.3%	1,367	1,218	$22K
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	1.1%	787	743	$20K
A6449	Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard	<1%	780	727	$16K
A6010	Collagen based wound filler, dry form, sterile, per gram of collagen	<1%	25	25	$6K

4 more codes

A6253	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	<1%	15	$4K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	429	$2K
A6450	Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard	<1%	121	$2K
A6223	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing	<1%	27	$2K

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.