1174632368

1174632368 was paid $1.50M by Medicaid between Jan 2018 and Dec 2021, across 26 billing codes. Its largest line is A6196, Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing — 21% of everything it billed.

33Billing provider info1174632368

33aNPI1174632368

33bProvider type—

28Total paid$1.50M

24GClaims63,310

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 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	13,701	$293K
2019	15,424	$319K
2020	14,978	$406K
2021	19,207	$477K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	21%	5,462	4,851	$314K
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	21%	2,439	2,242	$309K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	12%	4,524	3,982	$183K
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	9.1%	4,558	4,078	$136K
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	7.9%	1,036	918	$117K
A6449	Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard	7.0%	4,808	4,359	$105K
A6222	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	3.5%	2,636	2,452	$52K
A4452	Tape, waterproof, per 18 square inches	3.3%	7,142	6,509	$50K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	3.0%	10,837	9,793	$45K
A6209	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	2.7%	2,566	2,285	$40K
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	1.9%	4,083	3,749	$28K
A6251	Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	1.4%	1,416	1,303	$21K

14 more codes

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	1.2%	632	$17K
A6266	Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard	1.1%	1,071	$16K
A6210	Foam 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	1.0%	372	$15K
A4450	Tape, non-waterproof, per 18 square inches	<1%	5,468	$11K
A6253	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing	<1%	231	$9K
A6454	Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard	<1%	675	$7K
A6199	Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches	<1%	165	$7K
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	<1%	1,015	$5K
A6457	Tubular dressing with or without elastic, any width, per linear yard	<1%	1,759	$4K
A6545	Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each	<1%	277	$3K
A6248	Hydrogel dressing, wound filler, gel, per fluid ounce	<1%	53	$185.64
A6445	Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard	<1%	29	$131.77
A6206	Contact layer, sterile, 16 sq. in. or less, each dressing	<1%	27	$88.87
A6207	Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	<1%	29	$47.86

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.