1205355377

1205355377 was paid $24K by Medicaid between Feb 2018 and Oct 2018, across 20 billing codes. Its largest line is 81408, — 45% of everything it billed.

33Billing provider info1205355377

33aNPI1205355377

33bProvider type—

28Total paid$24K

24GClaims2,905

24DCodes billed20

24AFirst – last monthFeb 2018 – Oct 2018

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	2,905	$24K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
81408	45%	72	58	$11K
81406	15%	265	154	$4K
81405	9.3%	91	51	$2K
81404	6.6%	71	57	$2K
81401	5.5%	191	113	$1K
81355	5.3%	186	101	$1K
81335	5.3%	154	83	$1K
81402	3.7%	72	58	$893.76
81283	2.5%	60	45	$612.13
81400	1.5%	43	43	$375.52
81226	<1%	226	141	$98.66
81241	0%	172	87	$0.00

8 more codes

81328	0%	143	$0.00
81291	0%	172	$0.00
81232	0%	142	$0.00
81230	0%	143	$0.00
81240	0%	172	$0.00
81227	0%	172	$0.00
81231	0%	143	$0.00
81225	0%	215	$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.