1184856148

1184856148 was paid $172K by Medicaid between Mar 2020 and May 2020, across 4 billing codes. Its largest line is E0603, Breast pump, electric (ac and/or dc), any type — 68% of everything it billed.

33Billing provider info1184856148

33aNPI1184856148

33bProvider type—

28Total paid$172K

24GClaims1,245

24DCodes billed4

24AFirst – last monthMar 2020 – May 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
2020	1,245	$172K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E0603	Breast pump, electric (ac and/or dc), any type	68%	743	742	$116K
L2630	Addition to lower extremity, pelvic control, band and belt, unilateral	21%	223	222	$36K
L0621	Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf	8.6%	251	251	$15K
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	3.1%	28	28	$5K

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.