1215329594

1215329594 was paid $11K by Medicaid between Apr 2018 and Jan 2023, across 7 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 48% of everything it billed.

33Billing provider info1215329594

33aNPI1215329594

33bProvider type—

28Total paid$11K

24GClaims997

24DCodes billed7

24AFirst – last monthApr 2018 – Jan 2023

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	264	$4K
2019	330	$2K
2020	120	$782.76
2021	160	$2K
2022	111	$2K
2023	12	$125.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	48%	517	456	$5K
90686		33%	225	215	$4K
90750		13%	12	12	$1K
90715		3.6%	13	13	$394.08
90674		2.4%	12	12	$264.55
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	<1%	37	12	$40.50
S9430	Pharmacy compounding and dispensing services	0%	181	75	$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.