1174717185

1174717185 was paid $439K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 31% of everything it billed.

33Billing provider info1174717185

33aNPI1174717185

33bProvider type—

28Total paid$439K

24GClaims7,087

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

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	805	$49K
2019	824	$56K
2020	403	$27K
2021	192	$11K
2022	991	$58K
2023	1,922	$119K
2024incomplete	1,950	$118K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	31%	1,532	1,444	$136K
96130		22%	1,315	1,235	$96K
96132		19%	1,018	960	$84K
96131		9.9%	783	733	$43K
96136		7.8%	1,241	1,159	$34K
96101		3.7%	208	185	$16K
96137		3.7%	575	541	$16K
96102		1.6%	223	179	$7K
96120		1.3%	162	155	$6K
96139		<1%	15	12	$360.24
96138		<1%	15	12	$90.06

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.