1174983993

1174983993 was paid $65K by Medicaid between Jun 2018 and Oct 2020, across 2 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 100% of everything it billed.

33Billing provider info1174983993

33aNPI1174983993

33bProvider type—

28Total paid$65K

24GClaims2,703

24DCodes billed2

24AFirst – last monthJun 2018 – Oct 2020

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	82	$4K
2019	608	$38K
2020	2,013	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	100%	1,122	114	$65K
W00R2		0%	1,581	52	$0.00

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.