1215060488

1215060488 was paid $113K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is X3908, — 44% of everything it billed.

33Billing provider info1215060488

33aNPI1215060488

33bProvider type—

28Total paid$113K

24GClaims6,659

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 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	1,403	$23K
2019	1,373	$25K
2020	388	$7K
2021	743	$12K
2022	1,004	$18K
2023	1,162	$19K
2024incomplete	586	$9K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
X3908	44%	2,358	1,248	$50K
X3910	18%	2,108	1,137	$21K
X4110	16%	873	482	$18K
X3928	7.5%	405	310	$9K
X3920	5.7%	187	146	$6K
X4112	5.0%	593	341	$6K
X4100	1.7%	54	42	$2K
X4120	<1%	39	27	$821.37
X3922	<1%	16	13	$404.88
X4102	<1%	12	12	$354.27
X3926	<1%	14	14	$293.72

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.