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NPI 1194756973
NPI deactivated
1194756973
1194756973 was paid $3K by Medicaid between Jun 2018 and Jul 2020, across 2 billing codes. Its largest line is 00813, — 100% of everything it billed.
33Billing provider info1194756973
33aNPI1194756973
33bProvider type—
28Total paid$3K
24GClaims33
24DCodes billed2
24AFirst – last monthJun 2018 – Jul 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 | 12 | $0.00 | |
| 2020 | 21 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00813 | 100% | 21 | 18 | $3K | |
| G9656 | Patient transferred directly from anesthetizing location to pacu or other non-icu location | 0% | 12 | 12 | $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.